Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
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.
New SNF business models and alligators
By
John O'Connor
Apr 02, 2012
There’s an old adage that goes something like this: It’s hard to remember that your objective was to drain the ditch when you are up to your waist in alligators.
Pssssst! Have we got a deal for you!
By
James M. Berklan
Mar 10, 2011
We might have just been subjected to the biggest dose of chutzpah seen in a long, long while. It smacked of the old image of the leering used-car salesman (sorry, used car sales people) rubbing his thumb...
The hell with this guy
By
James M. Berklan
Oct 20, 2017
Speaking at the same Mandalay Bay complex in Las Vegas from which a “madman” committed the deadliest mass shooting by a single person in U.S. history just two weeks earlier, American Health...
New law strives to keep older adults at home
By
Liza Berger
Mar 31, 2010
When you read between the lines of the healthcare reform law, its general intent becomes clear: The law is about increasing home- and community-based services (HCBS), and improving wellness and prevention.
Nursing homes and loopholes, a love story
By
John O'Connor
Aug 31, 2015
You can bet that nursing home-hired actuaries, lawyers, consultants and other assorted bean counters are going over new rules with a fine-tooth comb. They are looking for the next generation of potential...
When numbers are drawn out by healthcare auditors and red flags wave
By
Elizabeth Newman
Feb 20, 2014
The takeaway in a story last week about extrapolation and Medicare overpayments is, natch, how meticulous providers should be when filing claims — and to understand how individual claim problems can...
Providers grapple with CMS ‘rule’
By
James M. Berklan
May 03, 2011
The Centers for Medicare & Medicaid Services has a lot of long-term care providers shaking their heads. They’re not sure they heard one of CMS’s latest proposed rules right.
Triple threat: One day’s reports fuel chest-thumping, angst
By
James M. Berklan
Apr 25, 2012
Monday was a remarkable day, even by Washington spinmeister standards. In fact, we here at McKnight’s had to look two times — nay, three — to make sure we had seen correctly.