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Perspectives

Cloning in EHR can lead to fraud, patient harm

by ExcelasMarch 29, 2018
  Documentation integrity is critical for avoiding fraudulent billing, HIPAA violations, claim denials, audits and compliance violations, and threats to patient care. Unfortunately, certain practices used within electronic health records (EHRs) can be problematic. For example, as EHR continues... [More]

Is Your Facility Too Lenient on Physician Certifications?

by ExcelasJanuary 26, 2018
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 ExcelasJanuary 26, 2018
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 ExcelasSeptember 2, 2017
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 ExcelasAugust 2, 2017
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

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