A federal court in New York has tossed a whistleblower lawsuit charging that large long-term care pharmacies violated the False Claims Act by failing to dispense requested generic drugs.
NY man suspected of trying to smother nursing home resident ... Medicare agency publishes QIO evaluation criteria ... TX nursing home deaths raise questions about mentally ill residents
Depending on how you like to interpret the news, nursing home operators are either facing some of the worst of times, or they've been infused with new life.
Q: The government is notifying new participants in the Bundled Payments for Care Improvement initiative. Do you expect more post-acute providers in this latest round?
Medicare skilled nursing facility reimbursements will increase by $750 million next year under a final payment rule announced Thursday by the Centers for Medicare & Medicaid Services.
AOD Software has bought Stratis Business Systems Inc., a home health and home care cloud-based software system.
Genesis nursing home fired dietary worker due to her disability, government alleges ... Rehabilitation provider groups brief Senators, present findings that IRFs outperform SNFs ... Medicare accounted for the most improper payments the government made last year
Elder abuse is inflicted upon many of the more than 2 million Americans in long-term care settings, and more oversight is needed, according to a government report published Wednesday.
The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation's healthcare system, according to a May 29 report from a panel of White House advisors. The President's Council of Advisors on Science and Technology criticized the FFS payment model because it focuses on the volume of services provided rather than on better outcomes.
Minnesota routinely is named best state for long-term care, as it was last week in AARP's 2014 scorecard. AARP held a panel discussion to unveil the rankings, and of course an official from Minnesota was on hand to share his state's secret sauce. But the panel also featured a speaker from Mississippi, one of the lowest-ranking states. I came away thinking that Minnesota actually might not have much to teach Mississippi — and questioning what these types of state rankings accomplish.
For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary spend three nights in a hospital as an inpatient — observation stays do not count — before becoming eligible for Medicare-covered SNF care. This rule creates a challenge for SNFs as hospital lengths of stay decline for many of the conditions that SNFs treat.
A hospitalist company that works with thousands of post-acute care facilities is officially facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities announced Tuesday.
Medicare drug procedure could burden dying seniors ... Drugs-then-therapy regimen raises hopes of full stroke recovery ... Docs reaffirm position on long-term care EHRs
Documentation coding errors related to routine patient evaluation and management (E/M) visits are costing the Medicare program billions of dollars in improper payments a year — nearly $7 billion alone in 2010 — according to a new government report. But the investigation involved few claims involving nursing homes.
People eligible both for Medicare and Medicaid go to lower-quality nursing homes after being hospitalized at a rate higher than Medicare-only patients, according to researchers from Brown and Harvard universities.
Federal lawmakers have drafted a bill to implement bundled, site-neutral payments for post-acute services, which they say would save the Medicare program up to $100 billion over a decade.
Long-term care providers have a stronger hook than they probably realize regarding the toughening of penalties for hospitals with high readmission rates.
The idea of a government-run long-term care insurance program similar to Medicare has become much more popular in the last year, according to the findings of a large nationwide survey. Independent research organization NORC at the University of Chicago and The Associated Press conducted the 1,400-person poll.
Many Americans remain in denial and are therefore disinclined to pluck the truth from the myths about long-term care, much to the detriment of their own finances as they turn to homecare providers for custodial services on a self-insured basis, if they can afford it. Those who need full-time skilled nursing care end up paying a median of $81,030 per year, according to the Genworth 2012 Cost of Care Survey.
LTC nurses report high emotional and physical burden in end-of-life care for dementia residents ... Medicare paying $2 billion annually on 'wasteful' services ... Clinicians strategies for patient-centered care identified
It's hardly breaking news that we live in an aging nation. But a look inside the latest round of numbers might give providers more reason to feel optimistic about remaining solvent once the age wave hits.
If you serve elderly populations in a long-term care or nursing facility, you have my respect — for the compassion you bring to work each day and the challenges you must face.
People younger than 55 would become eligible for a program to prevent unnecessary nursing home admissions if lawmakers pass a bill introduced Thursday in the U.S. House of Representatives.
Medicare would increase skilled nursing facility reimbursements by $750 million in 2015 under an updated payment rate proposed Thursday. CMS also will begin tying reimbursements to new statistical area designations set by the Office of Management and Budget.
Skilled nursing providers remain confused about Medicare changes related to the Jimmo v. Sebelius legal settlement, and many beneficiaries are not aware that their therapy might now be eligible for coverage, according to prominent long-term care expert Judith Stein. Stein is an attorney and director of the Center for Medicare Advocacy, which along with Vermont Legal Aid filed the Jimmo case.
A pharmacy owner in Louisiana bribed nursing home workers to return unused medications, then repackaged and resold them, according to allegations in a $2.2 million Medicare fraud case, state and federal authorities recently announced.
Lobbying efforts have ensured that long-term care residents and other seniors are commonly prescribed the expensive drug Lucentis, even though the less costly drug Avastin has proven equally effective, suggests a USA TODAY article published Thursday. Lucentis in fact has become the No. 1 drug reimbursed by Medicare.
Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report from a federal watchdog agency.
Nursing homes could do a better job of keeping residents with dementia out of the hospital during their last year of life, suggests recently published findings in Health Affairs.
Seniors now are eligible to receive premium-free Medicare Part A coverage if they are married to someone of the same sex, the Department of Health and Human Services announced Thursday.