The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident...
State News
Feb 01, 2014
MINNESOTA — Residents of rural long-term care facilities have been scrambling to find rides to medical appointments due to a change enacted by Blue Cross/Blue Shield.
U.S. lawmakers ramp up scrutiny of FDA following agency’s approval of controversial Alzheimer’s drug
By
Alicia Lasek
Sep 07, 2021
The FDA is being asked to help explain how Aduhelm (aducanumab) met accelerated approval criteria when so many experts — including internal advisers — have flagged insufficient safety and efficacy...
Spring cleaning 2021: Will your rehab team pass the white-glove review?
By
Renee Kinder
Apr 22, 2021
Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...
Providers warned: Ongoing relief fund audits may bring unprecedented info demands
By
Joe Bush
Nov 21, 2022
Provider Relief Fund audits have started in earnest, with the threat of federal investigators demanding more and different data than most skilled nursing providers have ever been asked to account for.
Prostheses for geriatrics impacted by new proposed rules
By
Jean Wendland Porter
Dec 02, 2015
The LCD has stated requirements for three types of prostheses, all transitioned and paid within 90 days and only when a set of unattainable goals are met.
Staying on the right side of compliance
By
Elizabeth Newman
Oct 09, 2015
In the 403-page Centers for Medicare & Medicaid Services proposed rule, there has been a lot of discussion around arbitration, quality and education. But buried within also are new regulations around compliance...
Honoring the fallen
By
Michael Wasserman
May 08, 2024
It’s been more than four years since the onset of the tragic pandemic that took the lives of nearly a quarter million vulnerable older adults living in nursing homes. Their lives mattered. How they spent...
How to do it… Physical restraints
By
John Hall
Aug 06, 2016
Since passage of healthcare reforms in OBRA 1987, the incidence rate of resident restraints has dropped considerably, to less than 5%, with a mantra to lower it further.
Government scrutiny with physician contracts
By
Nick Merkin
Jul 10, 2015
The government is increasing its scrutiny of skilled nursing facilities that might be tempted to offer a physician a role as a Utilization Review Physician or Physician Medical Director as an inducement...