The Five Star Report, once again, in the SNF spotlight
By
Steven Littlehale
Sep 24, 2014
The Five Star Quality Rating System takes the spotlight on the front page of the New York Times and the top of the news cycle, kicking off other publicity and political pressure. Regardless of any of the...
Do you really want to be ‘average’?
By
Steven Littlehale
Jul 22, 2014
A provider client once said to me, “I don’t understand all this ‘statistical gobbledygook.’ Tell me why I should care and how I can actually use this.” It was a valid request.
Multistate corporations, listen up!
By
Steven Littlehale
May 30, 2014
It is not a numbers game. Well, I guess it kind of is. Let’s face it: It is now common practice to monitor your facilities’ Five Star ratings.
The value of attending national Open Door Forum calls
By
Steven Littlehale
Apr 23, 2014
I often describe the monthly CMS Open Door Forum call as a monthly staff meeting; if you miss the meeting you better read the minutes to see what projects were assigned to you!
Moving beyond the ZIP code
By
Steven Littlehale
Mar 26, 2014
Why is there greater disparity occurring in some states but not all? Is it about the size of the state or the number of survey districts?
A survey and regulatory review of 2013
By
Steven Littlehale
Feb 24, 2014
It’s important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
Be careful what you wish for
By
Steven Littlehale
Dec 18, 2013
Last January, the U.S. District Court for the District of Vermont approved a settlement agreement in the case of Jimmo vs Sebelius that alleged Medicare contractors were inappropriately applying an “improvement...
Ready for a little late summer seasoning? (PEPPER to be exact!)
By
Steven Littlehale
Aug 30, 2013
The SNF PEPPER or “Program for Evaluating Payment Patterns Electronic Report” summarizes Medicare claims data to identify risk for abuse or improper payment. PEPPER compares a SNF’s claims...
MDS data quality: Things are not always as they seem
By
Steven Littlehale
Jul 15, 2013
Open up the hood and look at the engine. Does the data scrubbing module focus only on standard CMS coding and consistency checks and the “RUG” items, or is it more robust and emphasize clinical...