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More training, advocacy needed as Medicare denials continue — 10 years after Jimmo case

Ten years after a landmark court case determined patients do not need to regain function to maintain access to skilled nursing care and therapy services, advocates warn that elderly patients and those with disabilities continue to be denied care based on a non-existent “improvement standard.” ....

United States , Dennis Knoff , Judith Stein , Glenda Jimmo , Michael Benvenuto , Centers For Medicare Medicaid Services , Medicare Advocacy , Vermont Legal Aid , Medicaid Services , Elder Law Unit , Vermont Legal , Broad River Rehab , Pinnacle Senior Care , Medicare Advantage ,

Providers worried about CMS pace on new MDS materials

Skilled nursing operators were happily surprised in September with an early draft of MDS revisions, but ever since it’s been a slog getting more information. ....

Leah Klusch , Van Eaton , Joel Vaneaton , Centers For Medicare Medicaid Services , Regulatory Affairs , Alliance Training Center , Medicaid Services , Door Form , Broad River Rehab , Long Term Care , Standardized Patient Assessment Data Elements , Care Area Assessments ,

CMS drops 'enormous' MDS changes in surprise move

The Centers for Medicare & Medicaid Services surprised nursing home operators Friday by quietly posting a draft of updated MDS specifications. ....

Van Eaton , Leah Klusch , Joel Vaneaton , Centers For Medicare Medicaid Services , Regulatory Affairs , Quality Reporting Program Measure Calculations , Health Information , Alliance Training Center , Medicaid Services , Minimum Data Set , Long Term Care News , Broad River Rehab , Care Area Assessments , Reporting User , Manual Version , Functional Limitation , Mobility Devices , Standardized Patient Assessment Data Elements , Risk Drug Classes ,

Rising costs squeeze employees, put facilities 'years behind': 2022 McKnight's Mood of the Market

The 2022 Mood of the Markey survey found inflation has most affected costs for nurses and other labor over the last year, but it also is forcing facilities many to close wings, restrict admissions and put off needed construction. ....

Manning Mcgraw , Matt Stokes , Oliver Wyman , Lisa Mccracken , Compensation Solutions , Home Salary , Benefits Report , Long Term Care , Total Compensation Solutions , Broad River Rehab ,

SNFs 'significantly reduced' therapy use after PDPM

PDPM led to a “significant reduction” in occupational and physical therapy minutes in its first few months of implementation, a study found. ....

Centers For Medicare Medicaid Services , Resource Utilization Group , Oregon State University , Getty Images , Patient Driven Payment Model , Long Term Care , Medicaid Services , Broad River Rehab , Long Term Care News ,