Category: Skilled Nursing Facility

Ultrasound used as therapy for Alzheimer’s

Researchers at the University of Queensland in Australia have found that non-invasive ultrasound can break down the neurotoxic amyloid plaques associated with Alzheimer’s. Their research was published in the journal Science Translational Medicine. Researchers used repeated scanning ultrasound treatments of the mouse brain to remove the amyloid plaques, without the need for any additional therapeutic agent. […]

COMING SOON! Biller’s Association

At HCPro, we recognize that long-term care billers are a largely underserved professional population. While long-term care has national associations for nearly every type of nursing home professional, no membership association for billing professionals exists – until now. The soon to be launched HCPro’s Billers’ Association is a national membership community designed specifically for long-term […]

COMING SOON! HCPro’s Billers’ Association

At HCPro, we recognize that long-term care billers are a largely underserved professional population. While long-term care has national associations for nearly every type of nursing home professional, no membership association for billing professionals exists – until now. The soon to be launched HCPro’s Billers’ Association is a national membership community designed specifically for long-term […]

CMS Proposes Fiscal Year 2016 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities

On April 23, 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining proposed fiscal year (FY) 2016 Medicare payment policies and rates for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the IRF Quality Reporting Program (IRF QRP). The FY 2016 proposals are summarized below.  Proposed Changes to IRF […]

CMS proposes new rule for Medicare program

According to the Federal Register, CMS is proposing a rule that would update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2016. In addition, it includes a proposal to specify a SNF all-cause all-condition hospital readmission measure, as well as a proposal to adopt […]

Ask the expert: Tube feeding

Q: Regarding tube feeding, I have a resident who resides in a SNF, she receives only flushes, no nutrition via PEG tube. She was skilled for a tube in the past (2013), but has not received any nutrition for a year; does she qualify for another benefit period? She is still receiving flushes with occasional feeding. […]

SNFs, Therapy Contracts and Fraud: Redux by Reg Hislop III

Yes another SNF, another therapy contract and more fraud settlements.  The only thing that isn’t different is the contractor – RehabCare once again (a coincidence?…not likely). In news released late last week, a Maine SNF settled with the Department of Justice for $1.2 million, allegations of improper Medicare billings for “unnecessary, inflated, and unreasonable” therapy […]

Ask the expert: Ambulance billing

Q: I work in ambulance billing.  I know that under Original Medicare, many non-emergent transports of bed confined and non-wheelchair patients is billable to the SNF.  Is the same true for Medicare Advantage plans? Also, is there some way to tell when to bill the SNF?   A:  Medicare Advantage plans are not subject to consolidated billing […]

Ask the Expert: Restraint use coded on MDS

Q: We have had residents who are inmates of the sheriff’s depart.  Because of being in the custody of the sheriff’s department the resident has to be handcuffed to the bed or w/c at all times.  They usually are not in restraints due to the facilities policies, but due to sheriff’s department policy.  How should this […]

New Affordable Care Act initiative to encourage better oncology care

According to a press release that went out on Feb 12, 2015, The U.S. Department of Health and Human Services (HHS) announced a new multi-payer payment and care delivery model to support better care coordination for cancer care as part of the Department’s ongoing efforts to improve the quality of care patients receive and spend […]