I think a lot of us were a little ticked off with the State of the Union address and the administration’s focus on improving the quality of care provided in America’s nursing homes. We all know we...
Keep your head up: Your pay rule comments are due by June 10!
By
Neville M. Bilimoria
Apr 25, 2022
Perhaps the proposed rule will allow providers to tell their story to CMS, and this time make the agency’s key personnel understand that a reimbursement cut right now is unreasonable.
Shining some light on the new Five Star system
By
Steven Littlehale
Sep 05, 2012
The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.
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?
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.
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....
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...
Breaches of basic infection control practices — why?
By
Jacqueline Vance, RNC, CDONA/LTC
Jul 30, 2012
Basic infection prevention and control isn’t rocket science. It is essentially following some general guidelines. Some of them pretty simplistic. Not too hard right? You would think, but …
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...
Is the doctor in? Improve nursing homes with one easy stroke
By
Kenneth Lehmann
Apr 14, 2021
Many nursing home COVID-19 patients would have benefitted from daily, reimbursed-for physician visits in their skilled nursing facilities, but they were not entitled to them. With an epic crisis...