Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied...
Episode-based payment the focus of Sept. 23 McKnight’s webinar
By
James M. Berklan
Aug 28, 2014
As value-based payment and delivery models take hold in Medicare, providers must shift their focus from managing stays to managing episodes of care. Experts from Avalere Health leading a McKnight’s...
Long-term care providers ready to deal with ‘doc fix’
By
James M. Berklan
May 15, 2013
If you hang around long enough, you learn there are only two things long-term care providers fear after Republicans and Democrats. That would be hospitals and doctors.
Your money’s no good here
By
James M. Berklan
Mar 01, 2017
I’d say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.