Healthcare reform: No matter how much you may loathe it, there’s no way around how certain ideas, like pay for performance, aren’t going away.
SNF rehab claims scrutinized more than ever, expert says
Jul 11, 2012
Nursing home administrators who can’t substantiate every minute of rehab therapy delivered in their building leave themselves open to increasingly common audits and surveys, a top MDS 3.0 expert...
OIG: Electronic health records vulnerable to mispayments
By
McKnight's Staff
Nov 30, 2012
EMRs are expected to become the norm for healthcare providers in the future. But in the infancy of their use, they lack oversight and safeguards, a new report says.
Make CMS audits less burdensome, providers urge lawmakers
By
McKnight's Staff
Apr 29, 2013
The Centers for Medicare & Medicaid Services could take a variety of steps to make audits less burdensome, healthcare providers stated in white papers submitted to members of the Senate Finance Committee....
Flurry of Medicare Advantage regulation likely to hit nursing home coffers
By
Kimberly Marselas
Feb 03, 2023
Federal efforts to rein in Medicare Advantage spending and recoup payments awarded for improper diagnoses will likely lead to even more financial pressure on nursing homes that serve plan beneficiaries,...
CMS to begin audits for schizophrenia coding, says citations will affect quality ratings
By
Alicia Lasek
Jan 19, 2023
The agency will start auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded. A pattern of inaccurate coding may result in a quality...