Avoid Medicaid payment delays by being proactive

Written by Becky Ziviski, CPA, LNHA, speaker and author of Profit Without Census: A Nursing Home Administrator’s Guide to Profitability by Department.
Editor’s note: This post is an excerpt taken from the full article originally published in the August issue of PPS Alert for Long-Term Care.
A delay in the application process for Medicaid can have serious financial implications for the nursing facility. It is key to speak early with new residents and family members who might …

CMS considers new direction to increase healthcare competition, issues request for information

The CMS Innovation Center is seeking feedback from stakeholders through an informal Request for Information (RFI) to determine a new direction for healthcare systems that promotes patient-centered care and tests market-driven reforms that empower beneficiaries as consumers, provides price transparency, increases choices and competition to drive quality, reduces costs, and improves outcomes. Comments will be accepted through 11:59pm ET, November 20, 2017.
In a press release sent out via email on September 20, CMS states that …

20% of Medicare ambulance claims have inappropriate billing for transport

CMS reports that in a September 2015 report, the Office of the Inspector General (OIG) released results of a study of Medicare Part B ambulance claims. According to the report, almost 20 percent of ambulance suppliers had inappropriate and questionable billing for ambulance transport, creating vulnerabilities to Medicare program integrity. The OIG identified a number of key problems, including:

Ambulance transports for beneficiaries who did not receive any Medicare services at the point of origin or …

Dementia care competencies: Creating a strong foundation

Editor’s note: This post is an excerpt taken from one of HCPro’s dementia titles, Serving Residents with Dementia: Transformative Care Strategies for Assisted Living Providers, written by Kerry C. Mills.
A program for people with dementia cannot be thrown together overnight. Caring for a group of people who have different histories, tastes, interests, personalities, physical abilities, cultures, and beliefs is complex. Given this reality, it should come as no surprise that creating a program that meets …