SNFs

Doctors flunk test on skilled nursing facilities, raising concerns about care transitions, UCLA researchers say

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Early career physicians have extremely poor knowledge of skilled nursing facilities, showing that more robust training is needed to ensure that physicians can oversee effective transitions into SNFs, according to investigators at the University of California, Los Angeles.

SNFs should expect more 'worthless services' whistleblower charges, expert says

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Skilled nursing facilities soon might be facing an onslaught of whistleblower lawsuits alleging "worthless services," a legal expert cautioned Tuesday.

SNFs limited in disasters

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Skilled care facilities officially tabbed "alternate care sites" may not be able to take on hospital patient overflow during disasters, according to a report that examines hospital disaster planning.

RACs collected nearly $2 million from skilled nursing facilities last year, report shows

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Recovery Audit Contractors recovered $1.8 million in Medicare overpayments made to skilled nursing facilities in fiscal year 2013, according to a Congressional report released Monday.

State News for September 2014

State News for September 2014

MAINE - The state's nursing homes will get their first Medicaid rate increase in six years after a breathtaking display of mid-summer political brinksmanship. But dark days still loom in a state beset with closures and an over-65 population ratio that's second only to Florida's.

Preparing your back yard

Preparing your back yard

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SNF providers are scrambling to prepare to be "bought" by ACOs, aligned with potential bundling partners, selected as a preferred provider, and ultimately "sold" to the best, not highest, bidder.

Feds: Tie ACO ratings to SNFs

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Accountable care organizations should be assessed on which patients bounce back to a member hospital within 30 days of being discharged to a skilled nursing facility, the Centers for Medicare & Medicaid Services asserts in a proposed rule.

Hospitals: Change SNF pay

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The government should adopt Medicare payment policies that better support hospital-based skilled nursing facilities, the American Hospital Association urged in a recent letter to a top healthcare official.

Better accuracy in AL medication management

Better accuracy in AL medication management

The key to successful medication management is improving processes on multiple fronts so that staff members are more comfortable, confident, efficient and effective.

Skilled nursing facility trends contribute to improved Medicare outlook, Congressional report says

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The Medicare trust fund is on track to remain solvent until 2030, trustees of the program stated in a Congressional report released Monday. This improved outlook is due in part to revised expectations about the case mix in skilled nursing facilities.

Housing & Healthcare Finance advises on $940M loan for Deutsche Bank

Housing & Healthcare Finance has advised on a $940 million loan for Deutsche Bank involving 167 skilled nursing facilities in 19 states, with significant concentrations in Colorado, Maryland, Michigan, North Carolina and Texas.

Kramer: 'Go where the money is in preventing readmissions'

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To reduce preventable readmissions, a healthcare business strategy expert advised SNFs to follow the logic of the infamous Willie Sutton. "Go where the money is in preventing readmissions," said Andrew M. Kramer, MD, chief executive officer of Providigm.

All ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage, MedPAC says

All ACOs should be allowed to waive 3-midnight requirement for Medicare skilled nursing coverage, MedPAC says

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Accountable care organizations should be able to place patients in skilled nursing facilities more quickly and communicate which SNFs are preferred providers, the Medicare Payment Advisory Commission stated in a letter to a top government health official.

Also in the news for June 18, 2014 . . .

FDA licenses cell-culture flu vaccines to make U.S. "pandemic ready" ... Short-term, post-acute care in SNFs has not been studied well, analysis finds ... Fecal transplants cure C. diff by doing more than supplying missing "bug"

Medicare should pay skilled nursing facilities and rehab facilities equally for certain treatments, MedPAC tells Congress

Medicare should pay skilled nursing facilities and rehab facilities equally for certain treatments, MedPAC tells Congress

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Skilled nursing facilities and inpatient rehabilitation facilities should receive the same payments for treating certain conditions, the Medicare Payment Advisory Commission recommended in its latest report to Congress. The "site-neutral payment" proposal won praise from the nation's largest long-term care association.

White House spending plan less than industry hoped for

White House spending plan less than industry hoped for

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In every White House budget, there are winners and losers. Unfortunately for providers, long-term care again falls into the latter category. All told, President Obama's $3.9 trillion spending plan for fiscal year 2015 would cut funding for healthcare by $402 billion over the next decade.

RACs recovered $8,000 from skilled nursing facilities, $2.3 billion overall in 2012, report shows

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Medicare recovery audit contractors collected about $8,000 in fiscal year 2012 through a skilled nursing facility claims review pilot, according to a recently released annual report to Congress.

3 strategies for improved medication management communications in SNFs

3 strategies for improved medication management communications in SNFs

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One area where many SNFs have room to improve is medication management. Optimizing medication management services during care transitions will position SNFs as high-value partners in the preferred referral networks of hospitals and health systems.

Rehab providers offer study results to argue against site-neutral payments

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Patients generally have better clinical outcomes and live longer if they are treated in an inpatient rehabilitation hospital rather than a skilled nursing facility, according to a study commissioned by the American Medical Rehabilitation Providers Association. The findings show why IRFs should be reimbursed at a higher Medicare rate than SNFs, the trade association argued when releasing the results Tuesday.

Feature: Prescribing Unity

Feature: Prescribing Unity

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Assembling a well-coordinated medication management team requires solid communication, collaboration and convergence of clinical professionals

Senior living company can pay referral fees for new residents despite kickback concerns, OIG advisory opinion states

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A nonprofit senior housing and care provider can continue to pay an agency for referring new residents, despite concerns related to anti-kickback laws, according to a newly released government opinion.

Ask the care expert ... about water temperature in SNFs

Ask the care expert ... about water temperature in SNFs

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The nursing and maintenance departments are feuding over the water temperature. What should it be in a skilled care unit?

CARES Act would waive three-midnight requirement for nursing facilities with high quality ratings

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Certain skilled nursing facilities could provide Medicare-covered services to beneficiaries without a preceding hospital stay, under a new bill in the U.S. House of Representatives.

MedPAC shows enthusiasm for equalizing SNF, inpatient rehab facility payments

MedPAC shows enthusiasm for equalizing SNF, inpatient rehab facility payments

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More uniform reimbursements for skilled nursing facilities and inpatient rehabilitation facilities could be implemented soon, policy analysts recently told the Medicare Payment Advisory Commission. The Centers for Medicare & Medicaid Services tested the concept in 2006, after developing a patient assessment tool that could be used in both settings.

Ambulance company reaches $8 million settlement to resolve charges over improper skilled nursing facility arrangements

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The nation's second-largest ambulance services company has reached a settlement agreement over whistleblower charges of improper business dealings with skilled nursing facilities, Rural/Metro Corporation announced Tuesday.

I couldn't live without ... Fast World Works inventory management

I couldn't live without ... Fast World Works inventory management

As the chief operating officer for MasterCare Inc., a skilled nursing management company, Bryan Hornsby has to keep track of all the equipment in multiple SNFs. This formidable task is much easier today, thanks to a Fast World Works application.

Five Star makes changes to rely less on public funding

Five Star makes changes to rely less on public funding

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Five Star Quality Care recently transferred operations of two rehabilitation hospitals in Massachusetts to Reliant Hospital Partners, marking the latest move in the company's dramatic shift toward private pay operations.

Ask the payment expert ... about PEPPER reports

Ask the payment expert ... about PEPPER reports

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What can you tell us about PEPPER reports?

Wounds unwelcome

Wounds unwelcome

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As hospitals look for post-acute provider partners, skilled nursing operators must gauge their effectiveness at post-operative care and wound prevention

SNFs receive small portion of Medicare payouts to deceased beneficiaries, report says

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Skilled nursing facilities account for few of the problematic Medicare claims that are related to beneficiaries who were deceased at the time they supposedly received services, according to a new government report.

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