Medicare/Medicaid

President Trump Announces New Pandemic-Related Measures To Protect Seniors

In a statement issued April 30th, President Trump reiterated his support for the nation's seniors and announced new COVID-related protection measures. Read More »

QAPI Can Engage Staff and Improve Your LTC Facility

A key component of active implementation of the final rule is for all staff to be trained and participating in Quality Assurance Performance Improvement (QAPI) activities — a paradigm shift for some nursing homes.

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CMS’ PDPM May Impact Clinical Protocols

Changes to Medicare reimbursements may affect your facility’s workflow.

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Therapy cap survives via congressional inaction

Congress recessed for the final holiday of 2017 without addressing the current Medicare therapy cap exceptions process, set to expire on December 31. Without the exceptions process or an alternative, therapists will not be allowed to provide services above the therapy cap in 2018.

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Nursing home discharges under scrutiny

Residents, ombudsman, associations and consumer advocates are raising their voice about a growing number of allegedly improper evictions and discharges. 

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DOJ tallies $57M in Medicare fraud busts in two weeks

Medicare fraud squads are closing out 2017 by catching a wide range of health service providers in the crosshairs of crime, including several cases of opioid-related fraud.

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FDA approves, CMS proposes coverage for extensive cancer genomic test

The FoundationOne CDx (F1CDx) is a diagnostic test that can detect gene mutations for cancer, and its potential to help patients has spurred the Centers for Medicare & Medicaid Services to pay for qualifying beneficiaries to be screened. 

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CMS adds online tool for quality measures

The web-accessible version of the CMS Measures Inventory Tool (CMIT) will make it easier for providers to track their quality measures across the care continuum.

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LTC associations urge Congress to keep the medical expenses tax deduction

The tax deduction for medical expenses is on the chopping block in the Trump Administration’s new tax reform bill, an elimination that could seriously hurt all seniors, especially those with dementia.

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Immediate jeopardy: True or false?

An immediate jeopardy deficiency can cost providers dearly in finances and reputation. But what if it’s not true? Legal expert Alan C. Horowitz discusses a recent case where the provider challenged CMS over nearly $1 million in fines—and won.

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