Office of Inspector General – List of Excluded Individuals/Entities: May 2019

Angie Szumlinski Compliance, News

OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or …

Study on the Transition from Skilled Nursing Facility to Home Following Heart Failure

Angie Szumlinski Health, News

Discharge to skilled nursing facilities (SNFs) is common in patients with heart failure. SNFs are often used as a transition from hospital to home to regain strength, function, and independence, particularly for medically complex patients. Discharge home from SNF is often the ultimate goal, as the vast majority of these patients were residing at home prior to hospitalization. However, these …

New RAI Manual for PDPM Training Released Early

Angie Szumlinski News

This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas. Monday’s posting caught many insiders by surprise, as CMS officials had not been specific about a release date. Based on historical precedent, many were expecting a release late this week, possibly on Friday afternoon, leading …

Nonalcoholic Fatty Liver Disease discovered to be new risk factor for heart failure patients

Angie Szumlinski Health, News

A recent study finds that nonalcoholic fatty liver disease (NAFLD) is an emerging risk factor for incident heart failure (HF). Before this study, NAFLD was suspected to increase all-cause mortality in patients admitted for acute HF, but was never proven to do so. The study was conducted on 264 patients, of whom all were admitted for acute HF between 2013 …

elderly man sleeping comfortably in a bed

A Good Night’s Sleep for our Residents

Angie Szumlinski Health, News

A good night of undisturbed sleep is one of the most important services we can give our residents. By eliminating or minimizing night-time interruptions, we can encourage more of the restorative sleep our residents need to maintain and enhance their quality of life.  Two years ago, Great Plains Quality Innovation Network gave some presentation on exactly that topic. Recording of …

Nursing Homes Face More Challenges for Patients of Size

Angie Szumlinski News

By law, hospitals must treat people of all shapes and sizes when they need emergency care. However, these laws don’t apply to nursing facilities. A recent article appearing on talks about the challenges in placing obese patients in nursing facilities. The article states that as the American population grows increasingly larger, the elder population is no exception. According to …

Upcoming Webinar – Early Identification of Sepsis in Nursing Facilities: Opportunities and Hurdles Webinar

Angie Szumlinski News, Training

Sepsis is a leading cause of hospital readmissions for nursing home residents, yet the early identification of sepsis in nursing homes remains a challenge. With limited research available, how might we begin to tackle this problem? Please join Christine LaRocca, MD and the National Nursing Home Quality Improvement Campaign to learn more about sepsis, who is at risk and the …

CMS Changes to Nursing Home Compare and Five-Star Ratings Explained

Angie Szumlinski Compliance, News

A recent blog post from provides a brief overview of the 2019 changes to Nursing Home Compare and the Five-Star Quality Rating System. Following is a summary of that blog. To read the entire blog, please click HERE. Health Inspection Domain: The methodology for the health inspection rating returned to what it was prior to February 2018. Specifically, results …

Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention

Angie Szumlinski Health, News

A recent study to summarize the effects of long-term osteoporosis drug treatment and of osteoporosis drug treatment discontinuation and holidays found that long-term alendronate, zoledronate, and oral hormone therapy reduced nonvertebral fractures in older women, with oral hormone therapy also reducing hip fractures. While absolute reductions in typical fractures with long-term bisphosphonates are large relative to increases in AFF, reduced …

An Unfortunate Trend Among Seniors

Angie Szumlinski News

A six-month investigation by Kaiser Health News and PBS NewsHour finds that older Americans are quietly killing themselves in nursing homes, assisted living centers and adult care homes. Read the full article HERE.