We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review, of course! Since the initiation...
Grieving Families Act would leave skilled nursing providers crying their own tears
Dec 12, 2022
Sweeping changes to wrongful death statutes in New York could open a much longer filing period for claims, expand the types of survivors eligible to sue nursing homes and the kinds of damages they can...
Valid dementia verdict? Nursing home and hospital diagnoses now better aligned, study finds
May 03, 2021
Medicare’s dementia claim measures appear to have become more sensitive in recent years, agreeing more closely with hospital-based measures overall and for certain populations than in the past, investigators...
Panel holds up $300k claim against state in SNF breathing tube case
Aug 22, 2016
An Arkansas panel voted last week to affirm a $320,000 claim against the state’s Department of Human Services in a nursing home wrongful death lawsuit.
Facility negligence claims based on federal law dismissed
Apr 15, 2015
A federal judge has told the plaintiff suing a Kentucky nursing home that he could not proceed with his negligence per se claims based on violations of standards set by federal law or state licensing regulations.
Speech therapist faces 10 years for $3.7M in bogus claims
Mar 25, 2015
A 44-year-old licensed speech therapist faces 10 years in prison and a $250,000 fine after admitting she and a colleague submitted $3.7 million in fraudulent insurance claims for services either unnecessary...
AHCA pitches ‘permanent’ therapy payment system
Mar 06, 2015
Nursing homes’ biggest national ally and advocate is making the rounds on Capitol Hill this week in an effort to convince Congress to let die a lengthy experiment to withhold therapy claims while...
Ready, set … Just kidding! (ICD-10 adventures continue)
Shelly Mesure, MS, OTR/L
Apr 08, 2014
Is that how everyone is feeling about the ICD-10 delays? Well, that’s how I’m feeling. We almost got within the six-month window for implementation. Just when we were all geared up and ready...
The three C’s are the key!
Shelly Mesure, MS, OTR/L
Mar 26, 2013
How do you justify the reason for rehab, length of stay and intensity of treatment? You turn to the 3 C’s.
Life Care Centers of America denies massive Medicare fraud charges; judge criticizes feds in secret whistleblower...
Dec 05, 2012
A U.S. District Judge has called federal prosecutors’ years-long delay in announcing a Medicare fraud case involving one of the nation’s largest nursing home companies “absurd.”