Political grandstanding hurting long-term care again
By
Brendan Williams
Jun 04, 2018
It is regrettable that 17 state attorneys general are grandstanding by demanding that federal officials impose stricter nursing home regulation and sanctions. Their letter shows no real understanding of...
Five-Star is anything but frozen
By
Steven Littlehale
Dec 13, 2017
The day after Thanksgiving, CMS further defined its intensions with the Five-Star Quality Rating System; more specifically how the new survey process and derivative data will be used in its calculation...
Antibiotics in LTC: Changing from ‘Just in case’ to ‘Only when needed’
By
Philip D. Sloane, M.D., MPH and Sheryl Zimmerman, Ph.D.
Mar 01, 2017
Prior to the discovery of antibiotics, the most common cause of death was infection. There was no good treatment for pneumonia, complications of urine or ear infections were common, and many people died...
CMS sneaks a trick in with its treats
By
Steven Littlehale
Oct 21, 2015
With so many regulatory changes kicking in on Oct. 1, it’s no wonder providers were likely too distracted to notice the latest “trick” by the Centers for Medicare & Medicaid Services.
Defeat the plague of improper claims
By
Kristin Walter
Apr 17, 2015
For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made...
Where were YOU when CMS changed the Five-Star rating system?
By
Steven Littlehale
Mar 20, 2015
Some things will always stay etched in our mind. Where were you on February 12, when CMS publicly announced immediate changes to the Five Star Quality Rating System for Nursing Homes?
Stakeholders need to prepare for the loss of long-term care’s exemption to e-prescribing
By
Cynthia Morton
Sep 15, 2014
The Centers for Medicare & Medicaid Services is set to lift long-term care’s exemption from its e-prescribing rule as of Nov. 1. This is bigger news than most realize right now, and there has been...
New payment models present opportunities for SNFs
By
Jeff Terkowitz
Jun 18, 2014
For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary...
Getting ready for the unthinkable
By
Richard Cheng
Mar 12, 2014
Natural disasters and catastrophic events by definition arise unpredictably and consequently do not remain even in the back of people’s minds on a consistent basis.
When two midnights doesn’t equal three days
By
Carol Levine
Sep 23, 2013
Hospital observation stays have been increasing, as have Medicare auditors’ denial of claims related to short inpatient stays on the basis that they should have been counted as observation stays....