21st Nov

OMG—The OIG!!!

The OIG Work Plan for FY 2015 was posted on October 31, 2014 and summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond.

Businessman Writing A Letter Or Signing
17th Oct

President Obama Signs IMPACT Act

The IMPACT Act of 2014 is being likened to the Omnibus Budget Reconciliation Act of 1987 related to the impact (no pun intended) of this piece of legislation on post-acute care providers as it sets the stage for overhauling the

1st Oct

COT OMRA’s—Change Effective October 1, 2014

The fiscal year 2015 SNF PPS Final Rule includes revision to the COT OMRA completion requirements.  With the change, CMS will permit providers to use the COT OMRA to reclassify a resident into a therapy RUG from a non-therapy RUG

Senior Male Runner
27th Aug

Avoiding Unnecessary Hospital Readmissions

A major component of the Affordable Care Act was the creation of the Hospital Readmissions Reduction Program, which strives to reduce preventable hospital readmissions. As of October 2013, 2,225 hospitals have been penalized $227 million for excessive readmissions, and the

Businessman with Female Doctor at the Hospital
30th Jul

Post-Acute Care Management

Highmark has initiated a three-year partnership with naviHealth, a national post-acute care management company, to bring a personalized approach to support its Medicare Advantage members across Pennsylvania.  According to patient needs, naviHealth will utilize decision support technology and its post-acute

Clock face and calendar composite
23rd Jun

Length Of Stay

Health care facilities have been tracking and measuring their success for many years related to clinical outcomes and while the cost of care to produce successful clinical outcomes has always been a key factor in overall analysis of results, it

16th Jun

New Dining Practice Standards

Actually, the dining standards are not so new! The Pioneer Network is a growing coalition of organizations and individuals from across the nation, dedicated to making fundamental changes in values and practices in long term care. In 2011, the task

21st May

SNF Therapy Research Project

In the 2014 SNF PPS Proposed Rule, CMS provided an update on the SNF Therapy Research Project, and noted that it has contracted with Acumen, LLC, and the Brookings Institution. The purpose was to identify potential alternatives to the existing

Senior Man Sitting In Hospital Bed
28th Apr

Hospital Readmission Rates

The Protecting Access to Medicare Act of 2014 directs the Secretary to specify a skilled nursing facility all-cause all-condition hospital readmission measure (or any successor) by Oct. 1, 2015.   As per customary routine, the details are sketchy and nobody

Act Now 3D
20th Mar

Therapy Cap Exceptions

Therapy Cap Exceptions Process is due to expire March 31st.  Letters are now available from NASL for patients, providers, and family members for advocacy.  PLEASE ACT NOW! 1)     PATIENTS: Urge Congress to ensure the recent bipartisan bicameral agreement on the

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