The story of a certain Connecticut long-term care provider that “won” more than $4 million but didn’t collect it is a crying shame.
Streamlining the revenue cycle for skilled nursing facilities
Sep 21, 2022
As a skilled nursing provider, billing and reimbursement are important considerations to ensure quality patient care and adequate compensation. Skilled nursing organizations are at a tipping point with...
The ABCs of documenting CPT
May 06, 2021
It’s that time of year again when the Current Procedural Terminology (CPT) Editorial Panel meets with the task of ensuring its codes remain up to date.
It’s time for ‘the talk’ about healthcare fraud
Aug 01, 2016
Some necessary conversations tend to be awkward and uncomfortable. They include talking to our children about baby making. Or convincing our parents to give up the car keys. Or talking to government investigators...
Are your Ultra High RUGs putting you at risk?
Feb 22, 2016
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...
SNF therapy billing controversy rises from the dead
Oct 02, 2015
Despite my love of Halloween, there is one component of it that is distinctly not for me: Horror movies. Still, I’m enough of a pop culture enthusiast that I can appreciate those with an appetite...
Couple to plead in Presbyterian Manors $1.5 million mail fraud case
May 08, 2015
A former Kansas couple facing up to 20 years in federal prison and $1 million in fines are expected to plead guilty to at least some of the charges alleging they submitted fraudulent invoices to his former...
Shady practitioners often go undetected across state lines: Report
May 01, 2015
Nursing homes with visiting physicians or providers would do well to uncover their troubled histories with Medicaid or Medicare programs in other states or face billing nightmares, and worse, federal scrutiny.
Another revenue stream threatened?
Dec 05, 2014
For just about every skilled nursing facility out there, this is probably a good time to break out the flop sweat. That is, unless the prospect of being culled from one of your most vital revenue streams...
Expert says providers often wrongly threatened by PEPPER reports
James M. Berklan
Oct 21, 2014
Instead of fearing further scrutiny by federal authorities, providers should embrace the opportunity to get feedback in the form of PEPPER reports, legal experts said Monday at the LeadingAge annual meeting...