Therapy utilization will be as scrutinized as much as it ever has been, even though the “improvement standard” has once again been deemed deceased.
Are your Ultra High RUGs putting you at risk?
By
Steven Littlehale
Feb 22, 2016
The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident...
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Customer service at its finest?
By
Jean Wendland Porter
Apr 14, 2017
I’ve had the privilege to speak with two different medical entities today and wanted to share the experience with my readers and colleagues.
Payment reform: Ready! Set! Don’t go! No, I mean go!
By
Steven Littlehale
Apr 23, 2018
Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.
Should SNF therapy vendors use QAPI?
By
Tara Roberts
Nov 06, 2014
While some long-term care providers have been slower to look at QAPI processes, others are ready to implement. Therapy vendors also should be considering adopting and operationalizing QAPI.
How to make your nursing facility RAC-ready
By
Bryan Baird
Nov 08, 2011
As skilled nursing facilities adjust to the changes to Medicare that arrived early last month, they must be ready for Recovery Audit Contractors. RACs are independent auditors for the government that are...