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Editors Picks

CMS applauds readmission reduction

January 20, 2017  |  Robert Gatty
article

The Centers for Medicare & Medicaid Services has seen a substantial decline in hospitalization admissions among Medicare beneficiaries in long-term care. 

Therapy billing fraud: When will LTC learn?

January 19, 2017  |  Tom Ealey
article

Providers who overbill or fudge their therapy services are on the DOJ’s radar more than ever. So why is there still so much therapy billing fraud?

FDA nixes 14-day drug pre-packaging rule

January 19, 2017  |  Pamela Tabar, Editor-in-Chief
news

The new FDA rules acknowledge the unique role and dispensing needs of LTC pharmacies, including emergency kits and remote dispensing.

CMS releases home health agency rules

January 9, 2017  |  Pamela Tabar, Editor-in-Chief
news

Home health agencies that receive Medicare or Medicaid funds must now comply with a new set of rules designed to close the gaps in care documentation.

Medicaid Qualified Income Trust a trying process

January 3, 2017  |  Kathleen Mears
blog

Resident blogger Kathleen Mears details her lengthy—and frustrating—journey of setting up a Qualified Income Trust (QIT/Miller trust) to meet Ohio’s changing Medicaid eligibility requirements.

CMS issues final rule for cardiac bundled payments

December 27, 2016  |  Pamela Tabar, Editor-in-Chief
news

CMS released its latest episodic care models Tuesday, including the 90-day bundles for heart and bypass patients.

Medicare Part B outpatient drug payment cancelled

December 22, 2016  |  Nicole Stempak, Senior Editor
news

The Centers for Medicare and Medicaid Services will not move forward with a mandatory five-year Medicare initiative that would have tested new ways to pay for outpatient drugs under Medicare Part B.

OSHA issues rule to continue recordkeeping

December 22, 2016  |  Nicole Stempak, Senior Editor
news

The Occupational Safety and Health Administration (OSHA) issued a final rule upholding the agency’s longstanding position that it’s an employer’s duty to record any injury or illness continues for the full five-year record-retention period.

CMS to test new ACO model for dual-eligibles

December 18, 2016  |  Pamela Tabar, Editor-in-Chief
news

The pilot will let accountable care organizations manage the Medicaid claims for beneficiaries who receive both Medicare and Medicaid benefits.

LTC industry: Get back to basics ahead of Trump Adminstration

December 12, 2016  |  Nicole Stempak, Senior Editor
article

There may be regulatory changes ahead for the long-term care industry under a Trump Administration and Republican-led Congress, but Cynthia Morton says the best thing long-term care facilities can do is to keep doing what they've always done: take care of...

21st Century Cures Act includes ambitious health care spending

December 11, 2016  |  Nicole Stempak, Senior Editor
news
Both parties of Congress agree more money needs to be spent on cancer research, mental health, precision medicine, BRAIN initiatives, the opioid epidemic and regulating medical software. 

GOP, Trump regime met with optimism

December 9, 2016  |  Robert Gatty
article

AHCA/NCAL anticipates—and looks forward to—expected regulatory relief and repeal under the new Republican-led White House and Congress.