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?
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Pamela Tabar |
January 9, 2017
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.
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Kathleen Mears |
January 3, 2017
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.
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Pamela Tabar |
December 27, 2016
CMS released its latest episodic care models Tuesday, including the 90-day bundles for heart and bypass patients.
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Pamela Tabar |
December 22, 2016
The Centers for Medicare and Medicaid Services has released compliance guideline fact sheet for home- and community-based providers who care for people who exhibit wandering or exit-seeking.
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Nicole Stempak |
December 22, 2016
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.
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Pamela Tabar |
December 19, 2016
The pilot will let accountable care organizations manage the Medicaid claims for beneficiaries who receive both Medicare and Medicaid benefits.
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Nicole Stempak |
December 12, 2016
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 people.
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Robert Gatty |
December 9, 2016
AHCA/NCAL anticipates—and looks forward to—expected regulatory relief and repeal under the new Republican-led White House and Congress.
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Pamela Tabar |
December 1, 2016
A coalition of home health providers is encouraging Congress to give Medicare more time to iron out its home health pre-claim policy before pilots begin.
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Robert Gatty |
December 1, 2016
Contributor Robert Gatty ponders whether sweeping reforms are ahead as President-elect Donald Trump fills out his Cabinet and Republicans retain majority in Congress.
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Robert Gatty |
November 29, 2016
The American Health Care Association (AHCA) is looking forward to working with President-elect Donald Trump’s nominees and possible changes to the long-term/post-acute care industry, a vice president said in a call with reporters.
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Nicole Stempak |
November 29, 2016
President-elect Donald Trump has nominated Seema Verma, Indiana-based health policy consultant, to serve as Administrator of the Centers for Medicare and Medicaid Services. Verma worked with Vice President-elect Mike Pence on state health care reform.
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Pamela Tabar |
November 28, 2016
What's in store for long-term care in 2017? Cynthia Morton, Executive Vice President of NASL, talks about coming regulations and policy changes, including how a Trump administration could affect Medicaid.
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Pamela Tabar |
November 11, 2016
Three days after the U.S. election, President-elect Trump has announced his choice to lead the healthcare segment of his transition team.
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Robert Gatty |
November 10, 2016
The next administration will have to cut back on Medicare spending and fraud. Contributor Robert Gatty speculates whether lawmakers will crack down on avoidable hospital admissions.
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As Republicans take control of the executive and legislative branches, how will the new Administration impact healthcare's initiatives and priorities? Healthcare information technology experts weigh in on key policy issues moving forward.
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Pamela Tabar |
November 7, 2016
A federal judge has issued a temporary halt on CMS’ final rule ordering LTC facilities to remove all arbitration agreements from their admissions materials.
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Pamela Tabar |
November 4, 2016
The Centers for Medicare and Medicaid Services has finalized a rule that will change the way services are reimbursed in off-campus and on-campus settings.
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Alan C. Horowitz |
November 4, 2016
The long-term/post-acute care industry knew some groundbreaking changes were coming in the final rule from the Centers for Medicare and Medicaid Services, and Long-Term Living’s legal expert Alan C. Horowitz explains what all the fuss is about.
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Pamela Tabar |
November 3, 2016
National Diabetes Awareness month takes on extra meaning as Andy Slavitt, Acting Administrator of CMS, pushes for better diabetes care.
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As the season shifts into fall, the Centers for Medicare and Medicaid Services (CMS) is launching a new season of regulations for long-term and post-acute care.
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AANAC's Judi Kulus, RN breaks down the impacts of the new RAI Manual changes and why SNF needs to collaborate better among their care teams and with their outside partners—including therapy providers and home health.
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Pamela Tabar |
October 28, 2016
MatrixCare’s John Damgaard will head up the association’s new board of directors, along with four other officer electees.
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Pamela Tabar |
October 28, 2016
Fretting about CJR and rehab outcomes? Here’s why one of the best additions to your rehabilitation service line might be a psychologist.
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Nicole Stempak |
October 27, 2016
The American Health Care Association filed a complaint that the arbitration provision in CMS’ final Requirements of Participation rule is unlawful.
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Pamela Tabar |
October 18, 2016
What happens when dementia and post-traumatic stress intersect in the nursing home environment? The winner of the 2016 Long-Term Living OPTIMA Award has spent three years developing a program to train caregivers how to interact with veterans—and how to document their positive and negative behavioral interventions to increase everyone’s ability to provide better person-centered care.
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Pamela Tabar |
October 18, 2016
Will hospitals and nursing homes ever be able to agree on a standard set of data to share during patient transfers? Thought leaders at the annual NASL meeting discuss the current regs—and what needs to happen next.
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Alan C. Horowitz |
October 7, 2016
As more states pass laws legalizing medical marijuana, how will federal lawmakers react to the new climate?
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There’s an argument to be made for being an early adopter with Bundled Payments for Care Improvement (BPCI) Model 3, but there are also questions about how much participants will ultimately save.
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