Recently, claims for hospital patients discharged to skilled nursing homes have come under increased review, particularly by various recovery audit contractors. If you know some background and better understand...
Nursing homes more likely to send Medicaid recipients to hospital, study says
Oct 04, 2011
Medicaid beneficiaries in a nursing home are 27% more likely than private pay residents to be sent to a hospital rather than be treated on-site, according to a new study.
Nursing home operators anxious as new assessment, reimbursement changes take hold
Sep 29, 2011
Saturday marks the much-awaited — if not eagerly anticipated — Oct. 1 start date for a sweeping new set of changes to the MDS 3.0 resident assessment tool. Nursing home operators believe this could...
Medicare SNF Final Rule: An analytics- based perspective
While the changes to the new SNF PPS rule have been summarized as a simple number reflecting an overall revenue decrease of 11.1%, there are many details in the rulemaking that result in a disproportionate...
Irene’s nursing home evacuations leave paperwork headaches behind
Aug 31, 2011
Hurricane Irene evacuations have some East Coast nursing home operators nervous that reimbursement payments will be late or inadequate.
CMS did more than ‘just’ cut Medicare pay by 11.1%
By
Shelly Mesure, MS, OTR/L
Aug 19, 2011
Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect...
Top therapy reimbursement for everyone: here’s how
By
Shelly Mesure, MS, OTR/L
Jul 18, 2011
If the Ultra High is the highest level of allowable treatment we may seek, it’s our professional obligation to clinically provide these levels of service to every patient.
Care transitions becoming more crucial
By
James M. Berklan
Jun 17, 2011
It seems the Hebrew Rehabilitation Center in Boston ought to be getting a lot more attention from its peers. The center has successfully implemented a multi-pronged approach to lower rehospitalizations.
Providers grapple with CMS ‘rule’
By
James M. Berklan
May 03, 2011
The Centers for Medicare & Medicaid Services has a lot of long-term care providers shaking their heads. They’re not sure they heard one of CMS’s latest proposed rules right.
SIX DAYS TO GO: McKnight’s 5th Annual Online Expo
Mar 17, 2011
Two federal courts recently issued nearly identical rulings declaring the Medicare cap on hospice reimbursements to be invalid. They continue an unbroken series of rejections of the Department of Health...