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State staffing minimums provided motive to falsify nursing home records, witness testifies in ‘ghost employees’ trial

A surveyor’s testimony took the spotlight recently in a criminal fraud trial involving leaders of two nursing homes. Susan Williamson, director of nursing care facilities for the Pennsylvania Department of Health, outlined an alleged pattern of cost-cutting by evading state staffing regulations at two skilled nursing facilities — Mt. Lebanon Rehabilitation and Wellness and Brighton...

Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers

Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell.  Those ads must work.  For the first time 2024 will see most Medicare beneficiaries enrolled in private insurance – so-called “Medicare Advantage” (MA) – as opposed to fee-for-service (FFS) traditional Medicare. In signing Medicare into law in...

Medicare Advantage plans intent on skirting new rules, providers fear

Aging services providers are increasingly concerned that powerful Medicare Advantage plans will not fall into line under new federal rules, which were once seen as the possible beginning of a tide change for beneficiary rights. Changes to Medicare Advantage slated to kick in Jan. 1 were designed to ensure plans extend their enrollees the same...

Will nursing homes finally get a lucky break?

It’s a weird thing to find yourself becoming a cheerleader for higher unemployment. But the news last week that new unemployment filings climbed to their highest level in three months could be very good news indeed for the skilled nursing sector. A downturn in hiring in other sectors has often been viewed as a way to fuel...

A crazy way to spend a healthcare fortune

I’d like to announce that the folks who run Medicare Advantage plans will be shaking in their boots soon, fearful of what authorities are going to do to them. But I also like to tell the truth. So there will be no pronouncements of grievous Medicare Advantage practices, and the leaders behind them, being yanked...

Best consulting services in healthcare industry

The healthcare industry is a highly regulated and complex field that requires meticulous and sophisticated financial management to ensure regulatory compliance, cost reduction and efficient operations. The cbs business office in healthcare industry refer to a wide range of services such as purchasing, payroll, Revenue Cycle Management, account payroll, and Financial Controllership services. These services...