Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
The three “Rs” of nursing home care
By
Steven Littlehale
Aug 17, 2012
By utilizing benchmarks and data analytics preparation, time is reduced, priorities established and efforts measured. By knowing a facility’s prior survey deficiencies and having insight into the...
Ready Set: QAPI!
By
Steven Littlehale
Nov 05, 2012
Nursing facilities must submit written QAPI plans to CMS one year after promulgation of the regulation. This regulation will be in addition to current QAA standards.
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Sorting out the antipsychotic quality measures
By
Steven Littlehale
Mar 05, 2013
While antipsychotic measurements can vary, providers must carefully and thoroughly examine all antipsychotic medication use in their facility.
PointRight develops new Medicaid case mix management tool with Zimmet
By
Steven Littlehale
Aug 03, 2011
PointRight Inc. announced the development of CMI Now. This comprehensive Medicaid Case Mix Index management tool helps post-acute providers in New York and New Jersey better monitor and manage their Medicaid...
A survey and regulatory review of 2013
By
Steven Littlehale
Feb 24, 2014
It’s important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
MDS data quality: Things are not always as they seem
By
Steven Littlehale
Jul 15, 2013
Open up the hood and look at the engine. Does the data scrubbing module focus only on standard CMS coding and consistency checks and the “RUG” items, or is it more robust and emphasize clinical...
Moving beyond the ZIP code
By
Steven Littlehale
Mar 26, 2014
Why is there greater disparity occurring in some states but not all? Is it about the size of the state or the number of survey districts?
Survey and certification: Level that playing field!
By
Steven Littlehale
Dec 11, 2012
As you engage in quality improvement efforts, put together data-driven marketing materials, complete a HUD refinance application, or talk with families and other community members take care to make sure...