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742 Total ResultsCMS’s Recovery Audit Contractors Appear Poised to Audit Facilities With Ultra High Therapy RUGs
…However, CMS now permits the RACs to also request records and to audit up to 10 “test claims” to determine if CMS, based on the results of the test audit,…
Shorts on Long Term Care October 2017
…during an annual recertification survey or complaint survey than these from a surveyor: “we’re citing you for an Immediate Jeopardy.” Those words set in motion a series of events, both…
Meet the Winners: North Carolina Activity Professionals Headed to Nicaragua
Reading Time: 3 minutes In the November issue of Shorts, we announced our first-ever competition for long term care providers and asked you to nominate “the best of the best”…
House Passes SECURE Act, Aims at Improving Retirement Savings System
Reading Time: 2 minutes On Thursday May 23rd, the House of Representatives passed the Setting Every Community Up for Retirement Enhancement Act of 2019 (the “SECURE” Act) with a near…
Teach Me How To Fish
…father asked, as he looked at the email inbox that was filling up even on a Saturday and the stack of papers he had to review before Monday. “Because, “…
A Sign of the Times: Nonpayment of Resident Accounts, Transfer/Discharge and Related Issues
…level that will accept the resident. Beyond that, competent residents, their surrogates or their families are free to select a different receiving provider, and the actual physical location to which…
Responding to an Audit? Be Prepared!
…audit by one of the many CMS or NC Division of Medical Assistance (DMA) contractors, and the best way to come out ahead is to be prepared now. The audit…
Is The Deck Stacked In Nursing Facility Survey Appeals?
…money penalties. New data prepared by Healthcare Case Law, LLC, an online research database of all nursing facility survey appeals, proves the point. According to the data, between January 1,…
Fences
…office equipment company, and every day Aunt Annie left her own babies to come raise Mama’s. One day Aunt Annie ran to the phone in our little house and called…
No Material Change – No Forbidden CON Application Amendment
…that the proper test is whether the additional information materially changed representations made in the application. At issue in the WakeMed appeal were competitive applications for operating rooms in Wake…