The 2016 Office of Inspector General work plan calls for increased scrutiny of the Ultra High therapy billing category because the amount of this therapy delivered has increased over time, despite resident...
Final rule for joint replacement: Don’t come unhinged!
By
Steven Littlehale
Jan 20, 2016
The first mandatory bundled payment program was set into motion with the publication of the Final Rule on Comprehensive Care for Lower Extremity Joint Replacement (CJR). The implementation date is now...
How’s Your M-4 power? No it’s not the latest gadget, but a strategy for success!
By
Steven Littlehale
Dec 18, 2015
As the year comes to a close, we naturally reflect on how much has changed and, conversely, how much remains the same. This year it seems easier to identify the changes that post-acute providers have encountered...
Be thankful … for QAPI details?!
By
Steven Littlehale
Nov 25, 2015
t’s the time of year when we reflect and give thanks. With all the rapid changes in post-acute care, providers can be thankful for the Quality Assurance and Performance Improvement regulations detailed...
CMS sneaks a trick in with its treats
By
Steven Littlehale
Oct 21, 2015
With so many regulatory changes kicking in on Oct. 1, it’s no wonder providers were likely too distracted to notice the latest “trick” by the Centers for Medicare & Medicaid Services.
From volume to value: The conversation now applies to staffing
By
Steven Littlehale
Aug 21, 2015
It’s all you hear about in healthcare today: from Volume to Value. With the July 30 release of the PPS proposed rule, we see how this discussion now applies to staffing.
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
Are narrow networks going to yield the best result?
By
Steven Littlehale
Jun 11, 2015
In the future, the skilled nursing facility of choice (by other provider partners) won’t be defined by a single metric but rather by a multifaceted scale that considers resident needs, strengths...
Compliance: A game of follow the leader
By
Steven Littlehale
May 27, 2015
Do you remember playing follow the leader as a kid? You just followed the person in front of you and did exactly the same thing. And you did your best. Compliance today is a bit like playing follow the...
What will it cost you to stay in the post-acute care game?
By
Steven Littlehale
Apr 22, 2015
More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers...