Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for the majority of nursing home recoveries last fiscal year, the report showed.
People with complex needs could find themselves squeezed out of the most appropriate long-term care settings as Medicaid beneficiaries become enrolled in programs from private sector companies, The New York Times reported in a lengthy Page 1 examination of the subject Friday.
The West Virginia Supreme Court will consider the distinction between corporate negligence and medical negligence as it weighs a $90 million verdict against an HCR ManorCare facility, according to reports on oral arguments that took place Wednesday.
About 22% of Medicare beneficiaries experienced an adverse event during a post-hospitalization skilled nursing facility stay in fiscal year 2011, and the majority of these events were preventable, according to a newly released government report. Post-acute provider groups said many initiatives to lower this percentage already are underway.
HAWAII — One of the most expensive states in the country for long-term care is staring down the barrel of dwindling budgets and a rapidly growing elderly population. Officials are taking proactive measures to ensure adequate funding and better engage aging residents.
Emergency preparedness is an evolving issue for long-term care providers. While a recent study by the Office of the Inspector General found that most nursing homes nationwide met federal requirements for disaster plans and training, they also saw that gaps in implementing these plans still exist.
A whistleblower exposed disturbing drug packaging practices being used by long-term care pharmacy Omnicare Inc., but the charges don't fall under the False Claims Act, a federal appeals court recently ruled.
A Catholic long-term care provider is claiming freedom of speech and religious freedom violations in a much-anticipated legal appeal over the Affordable Care Act's contraception mandate.
Nursing homes could save money by utilizing multi-disciplinary teams for pressure ulcer treatment, although these teams may not improve clinical outcomes, according to recently published research.
Consistently assigning nursing home aides to particular residents could cause the aides to feel isolated and overburdened, suggests a study forthcoming in the Western Journal of Nursing Research. However, a prominent voice in the nursing home culture change movement says the study simply shows that providers must adhere to best practices to see the benefits of consistent assignment.
As my dear mother used to say, it's a rare cloud that doesn't offer some kind of silver lining.
Documents posted to a file-sharing website could have been used to steal medical record and credit card information from three nursing homes in New York state, according to a Tuesday report in the Wall Street Journal.
A government contractor can calculate how much money a provider owes for Medicare overpayments by doing a limited audit and then extrapolating from those findings, a federal appeals court recently affirmed.
Almost exactly two decades ago, we saw a huge push to move residents from nursing homes into home-based settings. But a funny thing happened once the number crunchers started doing the math. It soon became clear that such a shift would actually increase long-term care costs. Not surprisingly, the plan was given a quiet, decent burial
Nearly half of post-acute providers anticipate they will be acquired by an organization with better technological capabilities in 2015, according to survey results released today.
Nursing homes should ensure they are not serving potentially hazardous Uncle Ben's brand rice products, the Food and Drug Administration has announced.
A Colorado man has received a 130-month prison sentence for luring people to the United States and then forcing them to work in long-term care facilities, the U.S. Attorney for the District of Colorado announced.
MINNESOTA — Residents of rural long-term care facilities have been scrambling to find rides to medical appointments due to a change enacted by Blue Cross/Blue Shield.
It is tempting to run to my internist and beg for an antibiotic to stem what could be a sinus infection, but is more likely, much like the polar vortex, a cold that won't go away. I was reminded of the need to hold back by a new study in JAMA Internal Medicine that reminds us that nearly half the antibiotic prescriptions given for respiratory infections are incorrect, as the majority of the diseases in question are viruses.
An Illinois-based hospice provider overbilled Medicare and Medicaid by inappropriately designating nursing home residents as hospice patients, sometimes for years, according to federal charges announced Monday. The hospice administrator also took money for his personal accounts and obstructed justice, the prosecutors claim.
Long-term care providers can refer to a newly launched website to access information and resources to prevent infections, the Centers for Disease Control and Prevention announced Thursday.
By following practices that are common in home-based hospice care, nursing homes can improve the comfort and dignity of residents who are dying, according to new study results.
The U.S. Food and Drug Administration has drafted more stringent guidelines for blood glucose monitoring test systems used in nursing homes, hospitals and other healthcare settings.
A federal appeals court recently cited state law in upholding the right of an individual to sue a long-term care provider.
Nursing staff can turn residents less often if high-density foam mattresses and attentive documentation are being used for pressure ulcer prevention, research has found.
Leaders in the U.S. Senate have called for a government review of how nursing homes handle facility-managed trust funds.
Leaders in long-term care facilities should take steps to ensure that residents with dementia are not unnecessarily put back on antipsychotic medications, according to officials who spoke on a call with providers Monday.
One in four nursing home residents on Medicare was hospitalized in 2011, costing the program $14.3 billion, according to a new report from the Department of Health and Human Services Office of Inspector General. In light of its findings, the OIG has recommended a new quality measure to track hospital admissions.
Nursing homes might be able to reduce the scope and severity of deficiency citations related to sprinkler systems, the Centers for Medicare & Medicaid Services recently announced.
A nursing home executive convicted of embezzling millions of dollars from publicly financed facilities has agreed to pay $1.2 million to the federal government to settle claims, through a deal worked out in U.S. Bankruptcy Court.