Policy

CMS puts recovery audit program on temporary hold

The backlog of cases appealing audit decisions and payment denials has cause CMS to make a radical move: Hit the pause button on the audit program until contractors can catch up. Read More »

Institute of Medicine names next president

An expert in hypertension, congestive heart failure and gene therapy for vascular disease has been named the next president of the advisory body the Institute of Medicine. Read More »

One MDS assessment may take a NAC more than five hours to complete: study

Where does the time go in a NAC’s day? Results from an American Association of Nurse Assessment Coordination study answer that question. Read More »

Challenging surveys

Deficiencies and enforcement actions don't always have to be accepted without a challenge. Long-Term Living's legal expert, Alan Horowitz, explains the steps to appealing state survey deficiency reports. Read More »

Reauthorizing OAA: Maintaining flexibility, addressing demographic changes

The Older Americans Act should be reauthorized with a focus on maintaining program flexibility and addressing demographic changes, according to policy and aging experts who testified during a recent government hearing on the matter. Read More »

Post-acute orgs fear financial decline/buyouts due to technology gaps

Long-term and post-acute providers who fail to adopt information technology may find themselves at a distinct disadvantage—or owned by someone else—down the road, one survey report suggests. Read More »

Congress continues to wrangle with Medicare, Medicaid issues

Medicare physicians will automatically see a 24 percent reduction in pay if Congress does not act by March 31. Read More »

CVS taboos tobacco

As of Oct. 1, you’ll have to find cigarettes somewhere other than your local CVS. But if you develop a chronic cough, the in-store clinics will be there to serve you. Read More »

Legal logjam in Medicare appeals process

The Medicare appeals process allows providers to challenge payment denials—once you can get a hearing date. Read More »

Telehealth reimbursement reform gets major support

Three former senators and some major companies join forces in support of telehealth reimbursement reform.  Read More »

Is it rejection of care or resident choice?

Clearing the blurred lines between choice and rejection of care ensures correct coding of the Minimum Data Set. Read More »

Study examines new payment model for dementia care

A new study seeks to show the value of home- and community-based care for those with memory disorders, in hopes that more insurers might cover the cost of such programs, leading people away from nursing homes and assisted living facilities. Read More »

12 steps to QAPI: Step 2: Teamwork

In Step 2 of our series on achieving Quality Assurance Performance Improvement, Nell Griffin, LPN, EdM, explains the importance of team building and teamwork. Read More »

Facility-to-community transition program success highlighted in report

A recent report highlights the success of a federal program to transition Medicaid recipients from long-term care facilities to home- and community-based settings, including reinstitutionalization rates and residential preferences of senior participants. Read More »

Bipartisan lawmakers strike deal to repeal SGR, set physician pay increases

A bipartisan team of lawmakers has struck a deal to repeal the sustainable growth rate (SGR) and set new guaranteed pay increase for physicians that provide services under Medicare. Read More »

HHS rule grants direct access to residents’ lab results

A new federal rule will allow senior care residents and their family designees direct access to lab test results, encouraging consumer care involvement. Read More »

Alzheimer’s, diabetes, arthritis focus of new collaboration

Government agencies, drug companies and disease-focused nonprofit organizations are joining forces to develop new methods of diagnosing and treating diseases more quickly and at less cost. Read More »

‘Silver Alert’ would notify police, public of missing seniors

A proposed national alert system would notify law enforcement and the public when a senior or other adult is missing. Read More »

Cognitive health and aging focus of 2-year IOM project

A two-year project will examine cognitive health and aging in an effort to improve training for healthcare professionals and educate older adults, their families, caregivers and others. Read More »

New research highlights the growing need for palliative care worldwide

The World Health Organization (WHO) and the Worldwide Palliative Care Alliance (WPCA) investigate the unmet need of palliative care globally. Read More »

Illinois hospice charged in $125M fraud case

An Illinois hospice services provider is accused of training employees to fudge hospice placements and upcharge for care. Read More »

Death toll continues to climb in Canadian nursing home fire

A nursing home blaze leaves five people dead and more than 30 others missing. A search for the missing continues. Read More »

What the omnibus bill means for long-term care

The federal omnibus appropriations bill for 2014 has more than $1 trillion in funding for government programs. See how programs related to long-term care are affected. Read More »

CMS clarifies use of Medicaid funds in home, community-based settings

Stakeholder input helps CMS improve the accessibility of services for seniors and people with disabilities. Read More »

Leveraging LTC data

Data, data, everywhere... How can LTC providers leverage resident monitoring data and facility information to make better patient care and business decisions? Read More »

CMS issues final rule about home- and community-based programs

Alternatives to institutional care are the focus of a final rule issued by the Centers for Medicare & Medicaid Services. Read More »

Joint Commission releases updated accreditation guide

The Joint Commission has released an updated guide for nursing, rehabilitation, home health and other care providers seeking accreditation or certification this year. Read More »

CMS proposes emergency preparedness procedures

Four components should be part of every senior care provider's emergency preparedness plan, according to the Centers for Medicare & Medicaid Services. Found out what the agency is proposing and how you can comment. Read More »

OIG slams HHS Office of Civil Rights on HIPAA security oversight

The Health and Human Services' Office of Civil Rights gets a stern dressing down from the OIG for failure to provide proper oversight on HIPAA security issues. Read More »

Facility rating, resident quality of life not linked

Certain factors relate to resident quality of life, but the government rating of the facility where they live is not one of them, according to new research. Read More »