Posts by Health Care

The Proposed RCS-1 System’s Impact On SNF Reimbursement

How will Medicare & Medicaid Services’ (CMS) change the way Skilled Nursing Facilities (SNF) are reimbursed for Medicare Part A residents?  This is the question on the minds of many SNF providers these days.  Beginning fiscal year 2019, CMS is proposing to change from the current Resource Utilization Group (RUG) system to the Resident Classification…

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Jury awards $5.2 million to nurse fired after reporting abuse

Katrina Wesemann, an Illinois nurse who claimed she was fired from her job after reporting abuse, has been awarded $5.2 million. Wesemann was employed as a licensed practical nurse at Heritage Health in Dwight, Illinois in October 2012  when she was fired by her employer. Wesemann claims that Heritage fired her because she refused to…

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Implications of HIPAA Breaches an Increasing Concern for Long-term Care

Data breaches can come from many sources including ransom-ware, employee mistakes and disgruntled and/or former employee actions.  Long-term care operators have a specific added burden of securing records for an extended period. Additionally, this type of information remains valid and useful for a very long period since it is unlikely to change. Following a data…

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The Long Term Care Facility for 2020 and Beyond

Patrick Trotta, CPA, CHC, partner at Hertzbach, will be presenting “The Long Term Care Facility for 2020 and Beyond: Strategies for Operational and Financial Success” in conjunction with the Beacon Institute – LifeSpan’s Educational Affiliate and leader in education for senior care and service providers. Patrick is a partner in Hertzbach’s Healthcare Industry Services Group and  has…

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Maryland Skilled Nursing Provider Sues State 

In December 2016, Neiswanger Management Services (NMS), a Maryland nursing home operator, was sued by the Maryland Attorney General. Maryland Attorney General Brian E. Frosh stated that in the investigation, they discovered that NMS had removed residents from their facilities after their Medicare coverage expired and that they did not find suitable alternative care. NMS…

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Florida healthcare provider pays $5.5M settlement over potential HIPAA violations

A Florida healthcare provider (Memorial Healthcare Systems) has paid the U.S. Department of Health and Human Services $5.5 million to settle potential HIPAA violations. The Health Insurance Portability and Accountability Act of 1996 (HIPAA), was enacted to publicize standards for the electronic exchange, privacy and security of health information. The reasoning behind this settlement was…

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The rising costs of skilled nursing care

Per recent study, national averages for long-term care expenses have risen. Lincoln Financial Group’s annual “What Care Costs” study provides an interactive website that includes more detail. For instance, the national average cost of a private room has increased from 99,000 in 2015 to $102,900 in 2016. The report also elaborates on how long-term care…

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