Perspectives

Is Your Facility Too Lenient on Physician Certifications?

by Excelas26. January 2018 09:32
Problems with documentation in skilled nursing facilities (SNF) often lead to claim denials that can negatively impact cash flow and make these facilities susceptible to audits. According to findings in the 2017 Comprehensive Error Rate Testing report, one of the most common errors in medical reviews is missing or insufficient physician certification and/or recertification statements. [More]

Long-term Care | Medical Review | Regulatory

CMS Extends Moratorium on Phase 2 Enforcement Penalties

by Excelas26. January 2018 09:16
In November, the Centers for Medicare and Medicaid Services (CMS) announced it would give SNFs more time to adjust to some of the regulatory changes in LTC requirements before being penalized. Previously, the agency said it would restrict enforcement for one year, but due to readiness concerns from long-term care providers, they have extended their moratorium on penalties to 18 months.[More]

Long-term Care | Regulatory

10 Nutritional Considerations for Long-Term Care Residents

by Excelas2. September 2017 10:00
Nutrition is major focus at many nursing facilities because it is often linked to medical conditions. Malnutrition and dehydration, in particular, are recurring issues at nursing facilities, especially because they can lead to falls, the development of pressure injuries and/or cognitive impairment. [More]

Issues in LTC | Long-term Care

7 Ways to Adjust Nursing Home Patient Care Plans After a Fall

by Excelas2. August 2017 10:00
Falls are an enormous issue in long-term care facilities, and are often at the heart of lawsuits against care providers. The medical record is a crucial tool for the defense as it pieces together a timeline of what happened before, during and after a fall. It is imperative to document all of the steps the provider took to demonstrate its awareness of the resident’s fall risk, attempts to prevent them from falling, and response when a fall does happen. [More]

Health and Aging | Issues in LTC | Long-term Care

11 Risk Factors for Infections Among the Elderly

by Excelas2. August 2017 10:00
Infections in long-term care (LTC) facilities are associated with higher rates of morbidity, mortality, rehospitalization, extended hospital stays, and substantial expense. Urinary tract infections (UTIs) are among the most common infections seen in LTC facilities. For these reasons, many medical malpractice lawsuits involve patients who were treated for an infection of some kind. [More]

Health and Aging | Issues in LTC | Long-term Care | Medical Review

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