CMS puts surveyors on alert for those ‘gaming’ system
By
James M. Berklan
Oct 01, 2013
Federal regulators say surveyors need to prevent providers from possibly “gaming” the system when it comes to the timing of surveys and sales.
Blanket ‘no-CPR’ policy can result in citation, CMS rules
By
James M. Berklan
Dec 01, 2013
Federal regulators have come out strongly against facility-wide policies that prohibit cardiopulmonary resuscitation for residents in distress.
Penalty process explained
By
Tim Mullaney
May 01, 2014
A long-term care facility that has been slapped with a civil monetary penalty has 10 days to file for an independent informal dispute resolution process, according to a recent manual update from the Centers...
OIG: Hospices often out of compliance, need framing
By
James M. Berklan
Feb 01, 2014
The Department of Health and Human Services’ watchdog arm recently said hospice providers need stronger oversight measures. It also noted more than $5.8 billion in recoveries in fiscal 2013.
Providers rip huge backlog of therapy claims reviews
By
James M. Berklan
Jan 01, 2014
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
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.
Camera policies held up by privacy, litigation concerns
By
James M. Berklan
Aug 06, 2016
In the battle of pros and cons for placing cameras in resident rooms, the potential negative legal and privacy implications are winning out with most providers, new research shows.
Cases subject to escrow
By
James M. Berklan
Oct 01, 2013
Federal regulators have expanded the use of escrow accounts so that as of this month, providers will be subject to their use for any kind of deficiency from a standard or complaint survey that draws a...
Poll: IPAB best of options
By
James M. Berklan
Aug 02, 2011
In contrast to providers’ preference, more Americans want an independent payment board to make decisions about Medicare spending, rather than leaving the current system as is.
MDS insight found lacking
By
James M. Berklan
Apr 01, 2014
Long-term care staffers’ understanding of the Minimum Data Set and its Quality Indicators is “mediocre at best,” according to recent survey results. Lack of exposure and involvement are...