The government is expanding its research into alternative therapy payments, to consider more holistic changes to the way Medicare reimburses skilled nursing facilities, the Centers for Medicare & Medicaid Services announced Tuesday.
Hospices can continue to rely on contract nurses because an ongoing nurse shortage is preventing providers from meeting their staffing needs, the Centers for Medicare & Medicaid Services announced in a recent memorandum to state survey agencies.
The Centers for Medicare & Medicaid Services recently updated instructions on coding hospice claims. Billing staffs should be aware of these changes, which went into effect Oct. 1, CMS stated in a memorandum about the Medicare manual update.
Spending on nursing homes and continuing care retirement communities is expected to roughly keep pace with total U.S. healthcare spending during the next decade, according to the annual "National Health Expenditures Projections" report released last month.
After The New York Times noted that providers are apparently gaming the Five Star rating system by enhancing staffing and quality data, federal lawmakers quickly put an indignant pen to paper.
Slightly more than half of the nation's nursing facilities reported abuse or neglect allegations as required in 2012, a new report from the Office of Inspector General alleges. Such relatively low compliance indicates that more guidance and oversight is warranted, the report concludes.
CMS releases new version of software for collecting assessment information ... CT hospitals must now inform patients of observation status ... CA assisted living facilities face multiple requirements under new laws ... Govt. launches Open Payments website
CMS clarifies appropriate use of power strips in long-term care resident rooms ...GAO: Integrating Medicare and Medicaid may not reduce costs on dual-eligible care ... Brookdale discriminated against worker with fibromyalgia, EEOC claims ... State standards for physician access under Medicaid managed care vary widely, OIG finds
When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or "CHOW." Because this could wind up endangering a Medicare provider agreement, It is imperative that more people understand the process, know the parties they're involved with and develop better awareness of the regulatory issues involved.
The Centers for Medicare & Medicaid Services should loosen regulations to allow more people to receive care in the community rather than in nursing homes, a bipartisan group of Senators wrote in a recent letter to the top CMS official.
Long-term care providers should take pride in their antipsychotic reduction efforts, and certainly should work hard to meet the new goals announced Friday. But it should not escape their notice that just a day earlier, the White House released an ambitious national plan for addressing antibiotic resistant infections. The plan suggests that a facility's antibiotic stewardship is about to join its antipsychotics rate as a defining feature of quality in the eyes of the government.
Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016. Providers have already achieved a 17.1% reduction since 2011.
Americans are the most worried about losing their eyesight as they age, poll says .... AHCA says MedPAC Chairman is 'spot-on' with three-day stay comments ... Medicare Advantage enrollment rises for fifth straight year, CMS says.
If the Medicare Part B program had used average Medicare Part D drug dispensing and fee rates, it would have saved the government $110 million in 2011, according to a report from the Department of Health and Human Services Office of Inspector General released Sept. 16.
There's a looming massive report on all the hospital readmissions data in your area and the strategic plan your facility needs to pursue. It involves talking to lots of employees, gathering data, doing statistics and the actual writing, not to mention proofreading, and having your boss sign off on it. It's due Oct. 15.
The Centers for Medicare & Medicaid Services is set to lift long-term care's exemption from its e-prescribing rule as of Nov. 1. This is bigger news than most realize right now, and there has been no indication CMS is going to postpone things.
This year, it is the day after Halloween that might be scary. On November 1, prescribers, pharmacies and facilities in the long-term-care industry must cease the transmission of electronic medication orders via the HL7 and e-fax methods that predominate today.
The seeds that have flowered into the burgeoning of ACOs - groups of providers accepting the responsibility, and risk, for caring for the health of a designated patient population according to defined quality benchmarks (CMS measures quality of care using 33 measures in four key domains) - was planted long ago, in the baby boom.
The next Skilled Nursing Facilities/Long-Term Care Open Door Forum operated by federal regulators will be Wednesday.
Don't let anyone tell you that long-term care operators don't know how to read between the lines. They might not have known to fear a McKnight's Monday news item before it broke, but it definitely has their attention — and apprehension — now.
The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, the nation's largest long-term care provider association stated in recent written comments to CMS Administrator Marilyn Tavenner.
The government plans to start a "computer matching program" to reduce improper payments from government health programs to providers and other entities, the Centers for Medicare & Medicaid Services announced in a memorandum Friday.
Given certain realities about skilled-nursing facility inspections, we should not be wondering why cheating has occurred. Rather, we should be amazed it hasn't been more rampant.
Adding to the ongoing controversy around Medicare's Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.
A new Medicare hospice manual update includes instructions for which principal diagnosis codes are acceptable, and clarifies which codes should be used for services in a skilled versus non-skilled nursing facility. Billing staffs should be aware of these changes, which go into effect Oct. 1, the Centers for Medicare & Medicaid Services stated in an educational memorandum sent Friday via email.
You had to know this was coming. Earlier this week, the New York Times reported that many nursing homes are submitting massaged staffing and quality indicator data to the feds. The alleged reason? So facilities could pull better Five Star ratings.
Skilled nursing facilities must complete a discharge assessment when a resident is transferred from a certified to a non-certified bed, even if both beds are in the same building, the Centers for Medicare & Medicaid Services emphasizes in a recent memorandum.
Dementia sharply increases stroke risk ... CMS releases training tool to build respect for LGBT long-term care residents ... Canes fitted to the hip are better for stroke patients ... 'Mindfulness' training improves sleep, reduces depression in early-stage dementia
The Medicare stakes are about to get higher.
The rate of improper Medicare payments to skilled nursing facilities has increased largely due to issues with certification and recertification statements, according to a recently released government memorandum. The Centers for Medicare & Medicaid Services document summarizes requirements that SNF physicians, non-physician practitioners (NPPs) and billing staffs must meet for compliance.