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.
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?
Not angry about the LTC Commission’s report? You should be
By
John O'Connor
Sep 20, 2013
It’s hard to comment on the Commission on Long-Term Care’s just-submitted report without getting hacked off. Really, really hacked off. To call it a fool’s errand would be to insult misdirected...
3 bold predictions for the coming year in long-term care
By
John O'Connor
Jan 02, 2018
There’s nothing like a budding new year to awaken that urge in scribes to warn better-informed readers what to expect. It must be some kind of occupational hazard. So in the spirit of not always...
A no-brainer plan for Medicare and Medicaid
By
John O'Connor
Dec 11, 2017
But for those of you who think outrageous political trickery is dead, please let me point you in the direction of Capitol Hill. For we appear to be in the midst of one of the better con jobs to come along...
Sorry, that’s not the full recipe for fixing nursing homes
By
John O'Connor
Jun 04, 2012
The Atlantic’s recent article called ‘How to Fix Nursing Homes’ is a well-written and thoughtful piece. My only gripe is that the headline is a bit of a reach.
Medicare days tapering off?
By
John O'Connor
Apr 08, 2018
Medicare beneficiaries are spending 15% fewer per-capita days in skilled nursing facilities since 2009, according to a new analysis. The trend likely reflects a drop in days in hospitals — whose practices...
Rate hike will be only a part of the new Medicare reality
By
John O'Connor
Sep 01, 2014
Many providers are relieved that Medicare rates are slated to go up by 2% in the next fiscal year. After all, who wants to turn down $750 million, especially in a rate-cutting climate?
AHCA’s Parkinson ‘cautiously optimistic,’ despite sequester and other looming fiscal...
By
John O'Connor
Mar 07, 2013
A newly enacted sequester may be trimming Medicare payments to skilled nursing operators, but the sector remains strong and poised for future growth. That assessment was delivered Wednesday by the head...
Sleeper measures could cut Medicare payments to skilled care operators
By
John O'Connor
Mar 31, 2014
As far as skilled care is concerned, most recent reporting on a major Medicare bill has all but overlooked what’s in the bill for the sector. And it’s not trivial.