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News
‘Tsunami’ of Behavioral Health Challenges Amid OIG’s Anti-Psychotics Work Plan Seen Impacting QMs and Reimbursement in Nursing Homes
4+ day, 17+ hour ago (1207+ words) luisda75 / Pixabay | CC0 Nursing homes have only reached the tip of the iceberg when it comes to mental health challenges in the sector, with such challenges affecting quality metrics (QMs) and reimbursement amid renewed monitoring of anti-psychotics use in facilities. Lisa Chubb,…...
‘A Slippery Slope’: Case-Mix Creep, Expanded MDS Reporting Could Dampen SNF Payment Gains
1+ week, 4+ day ago (971+ words) Pexels | CC BY-SA 2.0 All this means more meticulous documentation and coding compliance if providers want to protect their modest reimbursement increase. Facilities should determine how many additional assessments they will need to complete, evaluate whether current staff can handle the…...
Nursing Home Medicaid Rates Rise Modestly as Operators Consolidate??
1+ week, 5+ day ago (453+ words) Nursing home operators are getting a clearer picture of the Medicaid-rate environment – modest increases for most, while other states are seeing no change. Eleven states have reported their Medicaid rate cycle turnover since July 1, with West Virginia seeing the highest…...
‘Future Regulation’: MDS Audit Discrepancies Highlight Nursing Homes’ Record-Retention Gaps
2+ week, 5+ day ago (769+ words) Image by ammcintosh1 from Pixabay Nursing home validation audits so far show MDS coding gaps tied to insufficient or missing documentation, often because of inadequate record-retention practices. And while penalties currently focus mainly on submission timelines, federal agencies could use the…...
Influx of Nursing Home Admissions Expected as California Medicaid Benefit Ends
2+ week, 5+ day ago (421+ words) Nursing homes may be impacted by a health insurer’s decision to cut benefits for 3,500 low-income seniors in California, with the latest extensions for the program going through Dec. 31. Health Net has announced a cut to assisted living benefits in the…...
Sicker Medicare Advantage Enrollees, Including in Nursing Homes, More Likely to Switch to Traditional Medicare
3+ week, 1+ day ago (300+ words) Older adults with newer, more complex medical conditions were more likely to leave a Medicare Advantage plan for traditional Medicare, and this likelihood increased as medical complexity increased, according to a new study released Friday. In the latest exploration, the…...
How Nursing Homes Can Prepare for the Risk-Based Survey Era Amid Lingering Unfunding and Surveyor Subjectivity
3+ week, 1+ day ago (855+ words) Pexels / Pixabay | CC0 In the upcoming era of risk-based surveys, consistency in storing and accessing patient data across facilities, especially following mergers and acquisitions, is ever more important. Providers will have to reconcile with some things remaining the same, however, including…...
Inside the Litigation Impact of CMS’ New Risk-Based Survey Process on Nursing Homes
3+ week, 3+ day ago (425+ words) Pixabay | CC BY-SA 2.0 The new risk-based nursing-home survey process, set to begin September 8, could raise litigation concerns because the streamlined approach uses fewer survey activities and a smaller resident sample, potentially allowing problems relevant to civil liability cases to go…...
Skilled Nursing Dealbook: Nursing Home Portfolios Change Hands in Michigan, New Mexico
3+ week, 5+ day ago (309+ words) A three-facility, 347-bed skilled nursing portfolio in Michigan changed hands. Meanwhile, a three-facility, 360-bed portfolio in New Mexico was also sold. 347-bed SNF sold in Michigan Evans Senior Investments (ESI) completed the sale of a three-facility, 347-bed skilled nursing portfolio…...
The Gold Trophy Comes With Caveats: Nursing Homes Cautiously Embrace CMS Risk-Based Survey’s New Icon
4+ week, 1+ day ago (1044+ words) Pixabay / qimono | CC0 As part of the federal government’s new risk-based survey model, nursing homes will be marked as “high-performing” using a little gold trophy icon on Care Compare. While the icon could be a powerful marketing tool, sector leaders warn…...