Social Security is the No. 1 anti-poverty program for children. Social Security is popular for poor and elderly retirees. However, it also provides support to children with a parent who has died or become disabled. Over 15 million beneficiaries are disabled or survivors of dead workers. The programs needs to expand for the 21st Century.
Reimbursement Rates CMS announced plans to lower nursing home Patient Driven Payment Model (PDPM) rates by 4.6% to account for unintentional overpayments. PDPM reimbursements were intended to be budget neutral. However, the nursing home industry exploited the new model and total spending increased by 5.3%, or $1.7 billion when compared to the old Resource Utilization
RUG v. PDPM There is hope that CMS will fix reimbursement rates associated with the Patient Drive Payment Model (PDPM). PDPM replaced the Resource Utilization Group – Version IV (RUGS-IV) on Oct. 1, 2019. PDPM is a case-mix model that relies on the accurate assessment and coding of over 150 items on the SNF minimum
Characteristics The Journal of the American Geriatrics Society (AGS) published a systematic review of studies concerning how certain factors–private equity, type of ownership, staffing, etc.–determine outcomes for the residents. Characteristics with no consistent correlations with outcomes included Nursing Home Compare 5-star ratings, ownership, and prior infection control citations. Staffing was the key factor. “A large
SCDHEC allows you to file Health Facility and CNA Abuse Complaints online. Health Facility Complaints To file a complaint against a health facility or service regulated by DHEC, submit the Health Facility Complaint Form. If you are unable to submit your health facility complaint online, you can call our office at (803) 545-4370 or 1-800-922-6735 and indicate you wish to
A Florida jury found The Palace at Kendall Nursing & Rehabilitation Center neglected Enrique Lozoya. The verdict states his urosepsis was preventable with reasonable care. Urosepsis is sepsis caused by infections of the urinary tract, including cystitis, or lower urinary tract and bladder infections, and pyelonephritis, or upper urinary tract and kidney infections. He had undergone
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