Policy

The cost of payroll-based journal reporting adding up fast

Skilled nursing facilities are quickly finding the Payroll-Based Journal Reporting, mandated timekeeping regulations from the Centers for Medicare and Medicaid Services, are more time-consuming than anticipated. Read More »

Ohio Medicaid Qualified Income Trust

Setting up a Qualified Income Trust/Miller Trust to fulfill the Medicaid requirements can be tricky business, so Ohio's Medicaid recipients shouldn't wait to get started on the process, says SNF resident blogger Kathleen Mears. Read More »

Medicare proposes changes to primary care payment

The Centers for Medicare and Medicaid Services has proposed changes to the Physician Fee Schedule to change how Medicare pays for primary care with an emphasis on care management and behavioral health. Read More »

CMS ranks Texas 48th in nation for antipsychotic misuse in nursing home

The Centers for Medicare and Medicaid Services Nursing Home Enforcement Report has found one in five Texas nursing home residents are improperly given antipsychotic drugs as a means of restraint.  Read More »

House proposes $350M increase for dementia research

The U.S. House of Representatives Appropriations Committee has proposed increasing Alzheimer’s disease and dementia research funding by $350 million for the National Institutes of Health to $1.26 billion.   Read More »

Whistleblower: hospice provider rigged documentation to raise census

A civil lawsuit filed by a whistleblower claims Caris Healthcare, which provides hospice services in five states, deliberately documented any illness that could be considered terminal in order to keep its hospice beds occupied. Read More »

OSHA launches anti-retaliation rules for injury and illness reporting

The Occupational Safety and Health Administration (OSHA) has passed rules that forbid retaliation and discrimination for reporting injuries, including post-accident drug testing and "incentive" programs that retaliate against those who bring workplace safety violations to light. Read More »

MedPAC launches plan for new payment system

The Medicare Payment Advisory Commission (MedPAC) submits it recommendations to Congress for how to establish a unified, cross-setting post-acute care payment system. The plan would redistribute payments among types of stays, making profits more uniform and hopefully reducing unnecessary services and admission preferences.  Read More »

Challenges to EHR implementation

A new study on implementation of electronic health records (EHR) has identified several obstacles for doctors, chief among them poor user experience. Read More »

MDS Update: Gearing up for Section GG charting

The new section, which documents a resident's functional ability and assistance levels, has a compliance date of October 1, 2016. Read More »

SCOTUS says no to challenge on labor law for home care

The U.S. Supreme Court has decided not to hear a case that would have challenged the Department of Labor’s ruling on labor protections for home care workers. Read More »

House Republicans propose healthcare system overhaul

Republicans from the U.S. House of Representatives announced a healthcare reform proposal that would challenge parts of the Affordable Care Act but retain some of the Act’s more popular provisions. Read More »

Unified PAC payment feasible, MedPAC says

The Medicare Payment Advisory Commission (MedPAC) has issued its annual report on refinements to Medicare payment systems and on issues affecting the medicare program Read More »

CMS gives hospitals extension to meet new fire safety codes

The Centers for Medicare & Medicaid Services announced it will not begin surveying for compliance with the 2012 fire safety codes until November. The July 5 ruling still applies when considering which code chapters facilities must comply with.  Read More »

New Life Safety Code requirements begin July 5

Stay compliant with CMS requirements by using the proper editions of the National Fire Protection Association (NFPA) Codes and Standards. Read More »

Federal judge dismisses CA nursing home suit

A U.S. district judge ruled the Federal Nursing Home Reform Act doesn’t give individuals the right to sue states, thereby dismissing a lawsuit alleging California nursing homes denied Medi-Cal patients readmission. Read More »

GAO report: Provider Medicare appeals still in logjam

Despite efforts to ease the backlog of appeals, no relief is in sight for the backlog of appeals from facilities that choose to appeal Medicare claims denials and deficiency citations. Read More »

Slow medicine pioneer Dennis McCullough dies

Dennis McCullough practiced geriatric medicine for several years but it was his own personal experiences inspired him to rethink end of life care. He became an advocate for hospice and palliative care. Read More »

Medicare could cover comprehensive Alzheimer’s care plan

Congressional subcommittees have proposed changes to the Social Security Act to cover an initial care plan for Medicare beneficiaries newly diagnosed with Alzheimer’s disease and related dementias to help them understand the disease and treatment options. Read More »

How chart audits affect your reimbursement

The pressure is on for skilled nursing facilities: Compliance for CMS reimbursement means proper charting, documentation of therapy minutes and shaking out those RUGs. Read More »

Getting stiff

Getting that handy touchpad laptop made life seem easier, but it wasn't so great for her hand's range of motion, says SNF resident blogger Kathleen Mears. Read More »

CMS to Allow ACOs to Join Forthcoming CPC+ Model

The Centers for Medicare & Medicaid Services (CMS) has opened up its new Comprehensive Primary Care Plus (CPC+) initiative to 1,500 eligible primary care practices currently in the Medicare Shared Savings Program (MSSP). Read More »

Extreme honesty: Medical errors and full disclosure

Mistakes and “near misses” can and will happen. But, how a facility discloses an error can affect everything from the CMS response to the family’s reaction. Read More »

La. VA nurse jailed for faking care documents in resident’s death

An OIG investigation determined the LPN had falsified charting records stating she had performed neuro checks after the resident had fallen out of his wheelchair. Read More »

“We are the solution,” industry execs tell Congress

A two-day AHCA/NCAL congressional briefing brings 450 long-term interests to Capitol Hill. Read More »

Couples become more similar as they age

New research suggests people who have been in relationships for decades are more likely to age to become more like each other mentally, physically and emotionally. That means doctors need to monitor the health of their patient--and their patient’s partner. Read More »

The fate of your stars: CMS and the new quality measures

As the opening keynote at the Memory Care Forum in Philadelphia, NASL policy guru Cynthia Morton discusses what’s coming next from CMS on long-term care quality measures and how that data might affect your five-star quality rating. Read More »

A legislative roundup of LTC in Hawaii

Hawaii state lawmakers reviewed several proposals before their legislative session ended, including some related to the oversight and inspection of long-term care facilities.  Read More »