Skilled Care

Skilled care companies seek site-neutral Medicare rates

Skilled care companies seek site-neutral Medicare rates

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Proposed Medicare payment changes have put the nation's skilled care companies at odds with inpatient rehabilitation providers, and the two sides were making strident arguments in front of lawmakers at press time.

Alleged exploitive photos of Senator's wife raise questions about nursing home privacy

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Visitation protocols at a Mississippi continuing care retirement community are under scrutiny after a blogger was jailed for allegedly taking an unauthorized photograph of the wife of U.S. Sen. Thad Cochran (MS-R).

Dramatic drop in hospital inpatient readmissions cannot be explained by a shift to observation stays, researchers find

Dramatic drop in hospital inpatient readmissions cannot be explained by a shift to observation stays, researchers find

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Hospitals achieved a notable reduction in their inpatient readmissions rate in 2012 and were not using observation stays to game the system, according to Centers for Medicare & Medicaid Services researchers. That means it is possible increases in the quality of care and care coordination are working in reducing readmissions.

Hospitals slap the government with lawsuits over 'two-midnight' policy to reduce observation stays

Hospitals slap the government with lawsuits over 'two-midnight' policy to reduce observation stays

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The American Hospital Association and other hospital groups have sued the federal government over the so-called "two-midnight rule," which was designed in part to ease access to skilled nursing services. The rule undermines the judgments of physicians and other clinicians, the hospital associations stated in their complaint, filed Monday in U.S. District Court.

ONLINE EXPO DAY 2: Learn how to prepare for a facility re-survey, where to find capital

ONLINE EXPO DAY 2: Learn how to prepare for a facility re-survey, where to find capital

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Long-term care professionals are in for a second day of great insights at the McKnight's Online Expo. Attention will turn to finding capital and preparing for surveys, after the event kicked off Wednesday with informative sessions on MDS 3.0 changes, technology and wound care.

Bill eases 3-day rule for many operators

Bill eases 3-day rule for many operators

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Above-average skilled nursing facilities may become exempted from Medicare's prior hospitalization requirement, per legislation from Rep. Jim Renacci (R-OH).

Design Decisions: Cottage industry pioneer

Design Decisions: Cottage industry pioneer

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'Universal' work teams, small-home designs bring Missouri its first taste of an increasingly popular new model of long-term care

ALOS complex query

ALOS complex query

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What do you get when you ask two academics, one geriatrician, one reimbursement specialist, and an analyst to define average length of stay? Five different answers.

Readmission fines target skilled care

Readmission fines target skilled care

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Skilled nursing operators often want the same treatment as hospitals. They might get their wish soon, though not necessarily in the way they hoped.

CMS fact sheet gives rules on 'maintenance' caregiving

CMS fact sheet gives rules on 'maintenance' caregiving

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The Centers for Medicare & Medicaid Services has issued a fact sheet, that clarifies the conditions the terms under which "maintenance therapy" will be covered by Medicare.

CMS eases doc delegation

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Skilled nursing operators now have greater flexibility in allowing non-physicians to do certain tasks. The Centers for Medicare & Medicaid Services clarified what may be delegated in an April 3 brief.

Medicare coverage of 'maintenance therapy' determined by need for skilled care, CMS clarifies in Jimmo document

Medicare coverage of 'maintenance therapy' determined by need for skilled care, CMS clarifies in Jimmo document

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Providers must sufficiently document the need for skilled care in order to obtain Medicare coverage for so-called "maintenance therapy," the Centers for Medicare & Medicaid Services stressed in a recent fact sheet on the Jimmo v. Sebelius settlement agreement.

Judge grants final approval of Jimmo settlement

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Marking another step toward guaranteeing Medicare coverage for nursing home residents needing skilled services, a federal judge on Thursday approved the October 2012 settlement agreement in Jimmo v. Sebelius.

Panel sees line blurring between skilled care and assisted living services

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The line separating assisted living and skilled care services continues to blur, according to panelists who spoke Wednesday at the Assisted Living Federation of America's 2012 conference and expo near Dallas.

Studies: Hospital stays contribute to high Medicare long-term care costs

Studies: Hospital stays contribute to high Medicare long-term care costs

Healthcare delivery system reforms could help reduce some of the "excessive and preventable" Medicare costs incurred by beneficiaries who live in long-term care facilities, according to recent reports from the Kaiser Family Foundation.

Satisfaction among nursing home consumers, employees continues to rise, survey finds

Nursing home consumers are more satisfied than they have been since 2005. Meanwhile, workforce satisfaction is at its highest level since 2006. That is according to a new survey by the research firm My InnerView.

Regulators delaying new MDS 3.0 nursing home payment system to 'minimize confusion'

Regulators delaying new MDS 3.0 nursing home payment system to 'minimize confusion'

Federal healthcare regulators on Thursday announced a sweeping round of delays for an updated tool to enhance the nursing home payment system. The rollout of MDS 3.0 is now targeted for October 2010 and other intermediary steps are being pushed back, officials with the Centers for Medicare & Medicaid Services said.

Long-term care reform hearing focuses on dual eligibles, home-based services

Public and private sector officials convened Wednesday to discuss the important role long-term care reform could play in a grander, overall healthcare reform scheme.

Guidelines for pressure ulcer prevention to be introduced at conference

New international guidelines for performing prevalence and incidence studies on pressure ulcers will make their debut today and Saturday at the Biennial Conference of the National Pressure Ulcer Advisory Panel.

State Medicaid cuts enacting tolls on low-income people, including elderly

State Medicaid cuts enacting tolls on low-income people, including elderly

Even as Congress considers a stimulus package that would increase the federal medical assistance percentage by $87 billion, half of all states have either enacted or proposed significant reductions to Medicaid services, according to recent reports.

Iowa law could become national model for long-term care insurance disputes

A new Iowa statute that will take effect Jan. 1 will protect Iowans who are denied long-term care insurance benefits. If successful, it could be used as a model for other states, according to industry experts.

Providing care for ailing spouse can lengthen your life, study finds

Caring for an elderly, ailing loved one can take an emotional toll, but it also may add years to your life, according to new research from the University of Michigan.

Nursing home suicide rates have not improved in 15 years

While instances of suicide among community-dwelling seniors have fallen in recent years, the same has not been true for long-term care residents, according to a recent study.

Home care suffers as states cut into Medicaid

Budget shortfalls in at least 15 states have led to severe reductions in funding for services for low-income seniors and those with disabilities, according to a news report.

Use of advance directives increases among nursing home residents

Use of advance directives increases among nursing home residents

Advance directive documentation is sharply on the rise in the nation's nursing homes, according to a recent report from the Institute for the Future of Aging Services, a research arm of the American Association of Homes and Services for the Aging.

Survey: Average cost of private nursing home room drops in 2008

Survey: Average cost of private nursing home room drops in 2008

The charge for a private nursing home room in 2008 dropped about a half percentage point over a year earlier, while the national average for a semi-private bed rose just 1.1%, according to a new national survey released Tuesday.

Pennsylvania bans mandatory overtime for nurses

Pennsylvania has become the latest state to ban the practice of mandatory overtime for nurses at healthcare facilities, including nursing homes and hospitals.

Offering quality care is goal of new Golden Living CEO

Offering quality care is goal of new Golden Living CEO

Golden Living should be synonymous with quality care, Dr. Neil Kurtz, the new CEO and president of Golden Living, told McKnight's this week.

Yarwood: Five-star rating system, card-check legislation loom large

Yarwood: Five-star rating system, card-check legislation loom large

While the nursing home industry can be proud of its accomplishments in Washington over the last year, many challenges await. These include card-check legislation in Congress and a problematic five-star rating system, Bruce Yarwood, president and CEO of the American Health Care Association, said Monday at the 59th Annual Convention & Expo's Opening General Session in Nashville.

Study: Medicaid continues to underpay nursing homes

Medicaid paid nursing home operators an average of $13.72 less than allowable costs per resident day in 2006. That is a shortfall of $4.6 billion overall, according to preliminary results of an annual study released Monday at the American Health Care Association's annual conference in Nashville.