Ask the nursing expert: How does a significant change in status assessment impact Medicare Part A payment...
By
Amy Stewart
Oct 17, 2019
How does an OBRA significant change in status assessment impact Medicare Part A payment under the Patient-Driven Payment Model? In the past, a significant change in status assessment (SCSA) could impact...
Verma: Some alternative pay models should be mandated
By
James M. Berklan
Jun 06, 2019
Making new Medicare payment models mandatory is crucial to avoid “selection effects,” where only providers who benefit financially from a model participate, reducing potential savings, said Medicare...
Ask the payment expert about … consequences of MDS dashes
By
Eleisha Wilkes, RN, RAC-CTA, RAC-CT, DNS-CT
Mar 12, 2023
Q: What are the concerns or consequences of dashing items on the MDS?
Ask the care expert: Can you help me with terminology and assessments?
By
Sherrie Dornberger
Jun 02, 2021
I am a fairly new nurse, and in school we were taught to call openings in the residents’ skin “pressure ulcers” and stage them accordingly. But other nurses are correcting me. They say there are...
COVID-19 litigation against nursing homes is likely to remain an ongoing threat. That is why facilities need to continue to remain vigilant in adhering to the latest guidance and regulations, advised the...
Managed care pouncing on promise of lower rates
By
Kimberly Marselas
Jun 01, 2021
You’ve surely already heard your organization should brace for an adjustment that brings the Patient Driven Payment Model back to budget-neutral status.
Sabra execs: Operators not seeing PDPM disturbance
By
Danielle Brown
Apr 01, 2020
The Patient Driven Patient Model had not caused much disruption among Sabra Health Care REIT’s skilled nursing operators as of press time, according to CEO and Chairman Rick Matros.
SNFs, therapists to pay $9.7 million due to billing dispute
By
Amy Novotney
Jul 17, 2019
Four skilled nursing facilities and a physical therapy center in the Chicago area have agreed to pay $9.7 million to resolve allegations of False Claims Act violations. Quality Therapy & Consultation worked...
Excel Health focuses on SNF intelligence
By
Elizabeth Newman
Jun 06, 2019
Excel Health has announced availability of its business intelligence solution for skilled nursing facilities. The company analyzed more than 1.25 billion claims across the care continuum to develop...
Testing rules, requirements are ‘unsustainable’: operator
By
Danielle Brown
Oct 01, 2020
Even with additional testing resources from the federal government, one nursing home operator said current costs combined with new surveillance requirements are simply “unsustainable.”