3 value-based purchasing strategies to help you get ahead
By
Sally Rodriguez
May 21, 2014
Long-term care providers have a stronger hook than they probably realize regarding the toughening of penalties for hospitals with high readmission rates.
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...
Providers must see clearly before they CHOW down
By
Richard Cheng
Sep 29, 2014
When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or “CHOW.” Because this could wind up endangering a Medicare provider...
Be proactive with new CMS regulations
Sep 04, 2015
If you wait to only react to the process, you will have to bite off more than you can chew when the deadlines come.
Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
The nursing home survey system is about to get a much closer look
By
John O'Connor
Aug 29, 2014
You had to know this was coming. Earlier this week, the New York Times reported that many nursing homes are submitting massaged staffing and quality indicator data to the feds. The alleged reason? So facilities...
Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?
Health IT not a panacea for what’s wrong in healthcare
By
Deborah Burger, RN
Jun 06, 2014
If you listen to the lobbyists for medical device manufacturers, health information technology is the answer to our biggest healthcare troubles. America’s registered nurses have a different perspective.
‘Special’ times ahead for more nursing homes, and that’s not good
By
James M. Berklan
May 28, 2014
As spring blends into summer, some nursing home operators are going to start feeling more heat — and it will have nothing to do with the weather. They will be given places on the proverbial hot seat....
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...