Payment Models

It’s time for a look-back period

Everyone needs a good sounding board. For many nurses, that forum is oftentimes a listserv. In commemoration of last year's big MDS package, Read More »

Resident interviews demystified

The scripted interviews that are integral to the MDS 3.0 are a rich source of information about each nursing home resident that often may not be Read More »

CMS proposes the Change of Therapy OMRA

The long-term care industry has wide eyes and an ear to the ground following the initial publishing of the Centers for Medicare & Medicaid Read More »

MDS 3.0’s challenging PPS assessments

MDS 3.0 and RUGs-IV hit long-term care with a wave of change on October 1, 2010. Universally, most MDS coordinators struggled with the new Read More »

Resident interviews

AT A GLANCE Besides promoting resident-centered care, the new Resident Interviews in the MDS 3.0 will ensure greater accuracy of the information Read More »

Are you ready for MDS 3.0?

At a glance… Providers with effective and dynamic leadership in an atmosphere of resident-directed care are likely to be the ones to experience a Read More »

Associations bristle over Medicare cuts; offer an alternative

Representatives for the nursing home industry have strongly criticized a new plan by the Centers for Medicare & Medicaid Services (CMS) to slash Read More »

Financing strategies for troubled times

Every day brings more bad news in the credit markets affecting virtually every sector of the economy, including healthcare. Even the aging of the Read More »

Counterbalancing MedPAC’s funding cuts

Contending that America's skilled nursing facilities (SNFs) are raking in the dough and generating fat profits from Medicare patients, the Medicare Read More »

MDS 3.0 implementation strategies

Significant changes in assessment philosophy that reflect current clinical practice standards and a focus on resident-directed care are at the core Read More »

Twenty years of OBRA—Has it really been that long?

Healthcare has had a long history of self-improvement. One need look no further than the Flexner Report (published in 1910) and the dramatic changes Read More »

Benchmarking rehab for better care, more reimbursement

Benchmarking is a management tool used in many industries to answer the never-ending question: “How does my operation compare against those of my Read More »

Reimbursement realities: A shaky business environment

Reimbursement methods—whether through Medicare, Medicaid, or private pay—have inherent consequences for business operations. How effective are these Read More »

Medicare 101: Know your documentation

Basic knowledge of Medicare's skilled care criteria has been historically considered a “must-know” for skilled nursing facility (SNF) admission Read More »

Focus On…Wound, Ostomy, and Continence

focuson Wound, Ostomy, and ContinenceThe case for hiring a wound care professionalJanet Stoia Davis, RN, CWOCN, sheds light on the down- and upsides Read More »

Focus On…Infection Control

focuson Infection ControlThe changing role of infection-control programs in long-term care managementLinda L. Spaulding, RN, C; CIC, explains how a Read More »

F314 and Pressure Relief

BY KAREN MERK, RN, BS, CRNAC   F314 and pressure reliefThe new federal guidelines have much to say about support surfaces and Read More »

Making the Most of RUG-53

Making the most of RUG-53BY RENA R. SHEPHARD, MHA, RN, FACDONA, RAC-C  The new classification system can still maximize your deserved Medicare Read More »

Enhancing Medicare PPS Service Quality and Reimbursement