The Five-Star Quality Rating System’s impact on insurance premiums — and how to address them
Feb 27, 2023
For nearly 15 years, the Center for Medicare and Medicaid Services’ Five-Star Quality Rating System for long-term care facilities has been a single source of truth for multiple parties. Consumers...
CMS to begin audits for schizophrenia coding, says citations will affect quality ratings
Jan 19, 2023
The agency will start auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded. A pattern of inaccurate coding may result in a quality...
Need more referrals? Expert hones in on the ‘M’ word
Dec 08, 2022
In a skilled nursing environment driven increasingly by data, providers must know which metrics matter most to their stakeholders — and be willing to work hard to improve those that exist beyond the...
Bill would use CMS’s Five-Star system to punish consistently 1-star nursing homes
Oct 10, 2022
A bill that would use the federal government’s Five-Star ratings system as a means to identify and punish poor quality nursing homes passed a New Jersey senate committee Thursday, drawing criticism in...
Lots to learn with new Five-Star
Jul 22, 2022
On a recent flight, I sat next to an attorney whose principal focus was compliance. It turned out that we were both on our way to speak at events in the same popular Florida conference destination. She...
Which matters most: Social media or Five-Star?
May 27, 2022
Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered. He suggested that, in general,...
Additional staffing metrics point to organizational stability
Mar 04, 2022
The Centers for Medicare & Medicaid Services, through its consumer‐facing website, has made additional nursing home staffing data available. Doing so during a public health emergency, when the industry...
Increase your occupancy now
Aug 02, 2021
Preparing for a presentation is always fun for me, especially when it involves original research. In anticipation of Reimbur$ement-Con, and my session “The Unexpected Nemesis,” we took a deep dive...
The truth in the stars
Jun 07, 2021
Can a one-star skilled nursing facility be the same as a five-star facility? It depends on your zip code. When the Centers for Medicare & Medicaid Services assigns the health inspection...
CMS: Lower COVID rates linked to higher nursing home quality ratings
Jun 02, 2021
Higher facility star ratings are tied to lower COVID transmission rates and fewer deaths, according to the agency’s chief medical officer and director of its Center for Clinical Standards and Quality.