As the presidential debates begin this week, Medicare is predicted to be a hot-button topic. One private foundation released a report that explores the differences and similarities between the healthcare plans of both presidential candidates. Read More »
A new guide, co-developed by the American Geriatrics Society and the American College of Surgeons, outlines the key assessment needs and risks of elderly surgery patients, including dementia, mobility and medication management. Read More »
October looms as a month of major change for the skilled nursing industry with the Hospital Readmissions Reduction Program slated to launch next Monday. With hospitals facing stiff penalties for patient readmissions, SNFs are poised to play a key role in efforts to reduce readmissions with quality issues taking center stage. Read More »
In California, business owners are taking a positive approach to the ACA. Answers to their questions on how to provide the health benefit to employees and comply with the ACA mandate are available online. Read More »
Hospitals could save billions if they used special units dedicate to observation stays instead of admitting patients for short-term stays, according to estimates in a new Health Affairs study. Read More »
As concerns over hospital readmissions grow, the Centers for Medicare & Medicaid Services has launched a program to encourage SNFs and state agencies to collaborate on avoidable conditions and the costs they incur. Read More »
Five of the leading U.S. healthcare organizations got a prickly letter from the Department of Justice and Health & Human Services Monday: Stop misusing documentation and electronic medical record technology systems for fraudulent billing purposes, or else. Read More »
The United States isn’t the only country experiencing explosive growth within the senior demographic. As the elderly population and the costs of senior care rise across the globe, other countries are weighing the U.S. long-term care experience. How will they handle the need for expanded senior services? Read More »
The United States isn’t the only country experiencing explosive growth within the senior demographic. As the elderly population and the costs of senior care rise across the globe, other countries are weighing the U.S. long-term care experience. Read More »
A bipartisan Congressional group introduces the Medicare Transitional Care Act of 2012, moving ahead to formalize reimbursement for care transitions. Read More »
A new report reveals increased use of high-cost Medicare services, leading investigators to suspect upcoding and billing abuse. Providers defend their practices, saying increased costs are partly because of senior care. Read More »
Medicare providers could be facing a $11 billion reduction in reimbursements if the government's sequestration process goes forward, according to an OMB report released today. Read More »
Five years of data from Center for Medicare & Medicaid’s largest experiment in performance-based reimbursement are mixed, but physician groups succeeded in slashing the costs for dual-eligibles. Read More »
As nursing homes compete in the post-reform environment for new direct patient admissions and more hospital discharges, several data driven tools—from Five Star rankings to hospital readmission benchmarks—that form the core of CMS’ focus on quality will be critical to nursing homes’ success. Read More »
In a milestone report released today, the Institute of Medicine (IOM) analyzes why the U.S. healthcare system needs a new business-based attitude, and why it struggles to learn from its own data. Read More »
Mandating that nursing home providers institute both a formal, facility-wide compliance and quality assurance and performance improvement (QAPI) program while enhancing nurse aide training across their facilities, the Affordable Care Act (ACA) aims to elevate the quality of care in America’s nursing homes over the next few years. Read More »
The Centers for Medicare & Medicaid Services' rule on hospital "observation stays" has generated much controversy. The American Health Care Association strikes back with a long list of changes that should be made--and why. Read More »
When it comes to getting Medicaid assistance for long-term care costs, too many rule variations among the states have created a chaotic system, a GAO report concludes. Read More »
Knowing that the quality measures (QMs) are used by surveyors and the public to evaluate your facility’s care outcomes should convince you to give high priority to understanding the details of the QMs. Read More »
Last month I blogged about the Centers for Medicare & Medicaid Services’ controversial Five-Star Quality Rating System in light of news of its revamped Nursing Home Compare website. I invited readers to share their thoughts on the rating system and the website, knowing that this was one issue certain to generate some commentary. And it sure did. Read More »
The Centers for Medicare & Medicare Services on Friday published a final rule pushing back the compliance deadline for converting to the ICD-10 system of diagnostic and procedural coding to October 1, 2014 from October 1, 2013. Read More »
Ohio is the latest state to launch a pay-for-quality program for skilled nursing reimbursement. But with 10 percent of reimbursement riding on passing the quality program, is the test tough enough? Read More »
The Center for Medicare & Medicaid's requested extension for the ICD-10 transition hasn’t been made official yet, but providers shouldn’t waste any time continuing their planning. Read More »
The billing differences between inpatient and observation hospitalizations are causing plenty of headaches, but the American Health Care Association believes CMS’ new pilot program is a step in the right direction. Read More »
Seniors in seven states soon will need prior authorization for powerchairs under Medicare. The homecare industry voices its disappointment in the lack of physician documentation standards for authorization. Read More »
Home healthcare agencies are the focus of $5 million in suspect Medicare claims, according to this week's report from the Office of Inspector General. Read More »
What is a LTC provider to do when contracted service providers fail to follow through with certain responsibilities, resulting in denial of Medicare/Medicaid payments and civil penalties? LTC provider Daniel Farley shares the approach used by his organization to be proactive in resolving potential problems in advance. Read More »
