Medicare/Medicaid

Aligning benefits for dual eligibles

Directed by provisions of the Affordable Care Act (ACA), the new health reform law, the Centers for Medicare & Medicaid Services (CMS) has launched a Read More »

Sweating out proposed Medicare/Medicaid cuts

The heat is on both literally and figuratively as we move into the height of summer. Healthcare providers have sweated out weeks of speculation over Read More »

CMS to SNFs: Stop overusing dashes in the MDS

A memo released this month by the Centers for Medicare & Medicaid Services (CMS) urges nursing home providers to monitor their use of dashes in Read More »

CMS considers $4 billion SNF payment reduction

Bob Gatty Since last October, skilled nursing facilities (SNFs) have been paid by the Centers for Medicare & Medicaid Services (CMS) at an Read More »

CMS proposes the Change of Therapy OMRA

The long-term care industry has wide eyes and an ear to the ground following the initial publishing of the Centers for Medicare & Medicaid Read More »

Spending cuts loom for Medicare/Medicaid

With the pressure on Washington to slash federal spending, the long-term care community can expect to face its share of the pain, and Read More »

Timer set on Berwick’s job

President Obama’s controversial appointment of Dr. Donald Berwick as administrator of the Centers for Medicare & Medicaid Services (CMS) during the Read More »

MDS 3.0’s challenging PPS assessments

MDS 3.0 and RUGs-IV hit long-term care with a wave of change on October 1, 2010. Universally, most MDS coordinators struggled with the new Read More »

Feds question SNF billing and payment practices

Two reports by federal health investigators have raised questions about billing practices at skilled nursing facilities (SNFs) for therapy Read More »

RAI/MDS process and nurse competencies in culture change

Diane Carter, RN, MSN, CS The MDS 3.0 demands that you focus on resident voice and choice. But the MDS, Care Area Assessments (CAAs), and care Read More »

Five-Star’s California public debut

I guess the stars don’t just shine in Tinseltown anymore. As of January 1, California nursing homes are required to post their Five-Star Quality Read More »

Resident interviews

AT A GLANCE Besides promoting resident-centered care, the new Resident Interviews in the MDS 3.0 will ensure greater accuracy of the information Read More »

Are you ready for MDS 3.0?

At a glance… Providers with effective and dynamic leadership in an atmosphere of resident-directed care are likely to be the ones to experience a Read More »

Single-payer system is healthcare stimulus

An upgraded Medicare program to cover all Americans would create 2.6 million jobs and add $100 billion in wages and $317 billion in business and Read More »

Counterbalancing MedPAC’s funding cuts

Contending that America's skilled nursing facilities (SNFs) are raking in the dough and generating fat profits from Medicare patients, the Medicare Read More »

MDS 3.0 implementation strategies

Significant changes in assessment philosophy that reflect current clinical practice standards and a focus on resident-directed care are at the core Read More »

Benchmarking rehab for better care, more reimbursement

Benchmarking is a management tool used in many industries to answer the never-ending question: “How does my operation compare against those of my Read More »

Medicare 101: Know your documentation

Basic knowledge of Medicare's skilled care criteria has been historically considered a “must-know” for skilled nursing facility (SNF) admission Read More »

State of the (healthcare) union

President Bush's 2007 State of the Union address, delivered last month, included a clear definition of societal responsibilities for healthcare Read More »

Survey Survival

I Advance Senior CareI Advance Senior Care is the industry-leading source for practical, in-depth, business-building, and resident care i... Read More »

Checking Up on Medicare Part B

BY GENE HARDY Checking up on Medicare Part BAre you sure your processes are in order? What sort of help is available? Read on...  Regardless of Read More »

Be a Winner in Medicare RUG-53

BY CHERYL FIELD, MSN, RN, CRRN, AND JIM KAZMER Be a winner in Medicare RUG-53Still struggling with the new grouper? A refresher course to bring you Read More »

Special Section: Medicare Part D: Early Experiences

I Advance Senior CareI Advance Senior Care is the industry-leading source for practical, in-depth, business-building, and resident care i... Read More »

Survey Survival

SURVEY survivalBY RETA A. UNDERWOOD, ADCBeyond the survey checklist  Findings from yet another report should continue to diminish our dependence on Read More »

What to Do About Medicare Part D

What to do about Medicare Part DExcerpt from "The Medicare Drug Benefit: Impact on Nursing Facilities," California HealthCare FoundationEditor's Read More »

Medicare Part D: Clear as a Physician’s Signature?

Medicare Part D: Clear as a physician's signature?An interview with Thomas R. Clark, RPh, MHS  For America's Medicare-eligible seniors, December 31, Read More »

Enhancing Medicare PPS Service Quality and Reimbursement

BY JAMES J. RIEMENSCHNEIDER, LNHA, MBA, AND L. PRENTICE THOMPSON   Now is an Read More »

Healthcare Hypocrisy

State Medicaid programs across the United States are shortchanging nursing homes by $3.3 billion a year. Read More »