Category: News

Direct patients to Medicare resources during open enrollment

A State Health Insurance Program (SHIP) is an insurance counseling service that is provided free of charge by the Administration on Community Living in partnership with the Centers for Medicare & Medicaid Services as well as state aging agencies to help assist Medicare beneficiaries and their caregivers. By discussing coverage, cost and convenience, the goal […]

CMS’ October release of quarterly OASIS Q&As offer guidance on PDGM, OASIS-D1

The latest release of CMS OASIS quarterly Q&As delve into issues around the Patient-Driven Groupings Model (PDGM) and OASIS-D1 as well as GG items capturing mobility and self-care. The October 2019 Q&As — published to the CMS website Oct. 15 — include 37 questions and responses on a range of topics. PDGM was the dominant […]

Post-Acute Wound Management and Patient-Derived Reimbursement Models

By: Roger B. Schechter, MD, Fellow of American College of Wound Specialists; Chief Medical Officer, Synergy Wound Technology Wound care has always been a considerable challenge in the post-acute setting. Patients with skin breakdown usually have a plethora of chronic comorbid conditions. Chronic wounds themselves, including pressure injuries, diabetic foot ulcers, venous leg ulcers, severe […]

Study finds half of SNFs to be unprofitable

Approximately half of SNFs are not operating at a profitable level, according to the 34th SNF Cost Comparison and Industry Trends Report, released on October 10 by consulting firm CLA. The report found that the 75th percentile of SNFs had an operating margin of 4.5% in 2018, while the bottom 25th percentile had margins of […]

AHCA raises concerns with CMS’ proposed abuse warning icon

Just a week after the CMS proposal to add a warning icon to the Nursing Home Compare pages of SNFs with a history of abuse, The American Health Care Association (AHCA) has called for a less severe logo. In an open letter to CMS administrator Seema Verma, AHCA president and CEO Mark Parkinson recommended a […]

More than half of states updated assisted living regulations in past year

The National Center for Assisted Living (NCAL) released the 2019 edition of the “Assisted Living State Regulatory Review” on October 3. The review found that 27 states updated their assisted living regulations, statutes, and policies between June 2018 and June 2019. The most common state regulations updated aimed to enhance resident protections, with the most […]

5 critical components every job description must contain

By: Cathleen Yonahara, Freeland Cooper & Foreman LLP, Mark I. Schickman, Freeland Cooper & Foreman, LLP A job description need not account for every task that might ever be done, says the CELL. Here are the most critical components of a good job description. 1. Heading information. This should include job title, pay grade or […]

MyPayrollHR suddenly closes, home care providers and employees feel the effects

A payroll company in upstate New York suddenly shuttered in September, leaving some home care companies and their staff scrambling, according to an article from Spectrum News. The company, MyPayrollHR, had 4,000 clients, among them home care company Visiting Angels. When the payroll company shut down, a financial services company that worked with MyPayrollHR started […]

5 Ways Interoperability Can Benefit Home-Based Care

By: Navin Gupta, VP, Home Health, Hospice & Private Duty, MatrixCare The digital age has created an overhaul of technology within the healthcare industry – transforming health records into collections of electronic data that should simplify administration processes for providers everywhere. But just because health records have gone digital, doesn’t mean it makes communication any […]

New change request outlines rebuttal process for providers with deactivated Medicare billing

CMS has issued a change request outlining the rebuttal process for providers or suppliers whose Medicare billing has been deactivated. CR 10978 provides instruction to Medicare Administrative Contractors (MACs) to advise providers of rebuttal rights and how to receive and process rebuttals. The change request takes effect Dec. 31, 2019. Providers can submit a rebuttal […]