Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the “reduce spending” element that we have lost our...
Skilled nursing facilities find new opportunities, new challenges with 60% rule
By
John Andrews
Apr 01, 2008
Since the reduction of the so-called 75% Rule to 60%, SNFs have to work even harder to attract Part A therapy residents
Baucus, Grassley propose ‘bundling’ of post-acute payments; nursing home groups object
Apr 30, 2009
Sens. Max Baucus (D-MT) and Charles Grassley (R-IA) this week released several policy ideas for revamping America’s healthcare delivery system. Many of these would affect the long-term care and post-acute...
Federal agencies at odds: Medicare payment error rate much higher than first reported
Aug 27, 2008
The Office of the Inspector General has issued a report claiming that the Medicare payment error rate for durable medical equipment in 2006 was significantly higher than the 7.5% rate claimed by the Centers...
Medical necessity — slippery for some
By
Shelly Mesure, MS, OTR/L
Dec 02, 2011
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...