‘Improvement standard’ still being used: Jimmo winners
By
James M. Berklan
Apr 04, 2016
A landmark legal settlement that, in part, compels the federal government to pay for more therapy and treatment of Medicare beneficiaries is not being adhered to, advocates complained in court recently.
Opinion — Editor’s desk: ‘AdvEx’ – it’s time for yet another high quality...
By
James M. Berklan
Nov 08, 2006
Let’s be honest. I wasn’t the only one rolling my eyes or smirking upon hearing there was yet another nursing home “quality” push on its way.
Court: Arbitration agreement still enforceable even though SNF doesn’t have copy of it
By
James M. Berklan
Jul 25, 2016
A skilled nursing facility that doesn’t have a copy of a signed arbitration agreement can still compel arbitration, the Indiana Court of Appeals ruled on Thursday.
CMS proposes Medicare ACO overhaul to prod more risk-taking
By
James M. Berklan
Aug 10, 2018
“Pathways to Success” is predicted to save the Medicare program $2.2 billion over 10 years.
The Government Accountability Office recently issued a pair of reports within days of one another critical of how the Medicaid program gathers data and screens its provider participants.
Trump budget wields more Medicaid cuts than expected
By
James M. Berklan
Jul 06, 2017
Providers who first thought they would be on uncommonly good footing with Republicans controlling both chambers of Congress and the White House were stunned earlier this year when Medicaid reform was put...
Claims facing more scrutiny from auditors, survey shows
By
James M. Berklan
Oct 01, 2012
If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.
Deeper Medicaid cuts reportedly in Senate health bill
By
James M. Berklan
Jun 22, 2017
Senate Majority Leader Mitch McConnell (R-KY) planned to share on Thursday morning a so-called “discussion draft” of a health reform bill that is likely to cause long-term providers a lot of...
Linking quality, payments
By
James M. Berklan
Feb 11, 2004
Long-term care players will be showing a little more interest than usual in inpatient hospital happenings this year.
Hospitals have embarked on a project that will pay better-performing facilities more...
Providers have low hopes for better reimbursement
By
James M. Berklan
Mar 09, 2004
Long-term care providers may find themselves in a situation this year where no news is good news regarding reimbursement.
Then again, they probably aren’t really going to have much of a choice: In...