Podcasts about skilled nursing facilities

What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. What if the fastest way to grow your healthcare organization is to slow down? In this episode of The Disrupted Podcast, Scott Middleton returns from Scotland straight into the thick of a merger — and what he's learning is reshaping how he thinks about change itself. Scott takes us inside the integration of TCPA and Providence Care into Your Health, where two very different models are colliding. One organization built 640 billing codes last year; the other built 40. One puts a single nurse practitioner in a building with no support; the other surrounds providers with nurses and community health workers. The opportunity is enormous — but so is the risk of moving too fast and scaring everyone away. In this conversation, Jamie and Scott explore: Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. Why a nurse practitioner alone is a "single source of failure" — and how staffing changes everything How to enter a building without threatening the provider they already love Why billing isn't bureaucracy — it's how Medicare knows you made a difference The art of giving people what they think they need now, and the rest over time Advanced care planning, DNRs, and why the right message sometimes needs a different voice This is a masterclass in change management disguised as a healthcare conversation. Listen now — and rethink what "disruption" really requires. www.YourHealth.Org

SNF Fraud or Perverse Incentives? Hunterbrook Investigates Understaffing, Self-Reported STAR Ratings, and Medicare Dollars at Skilled Nursing Facilities Is it fraud — or is it just a perverse incentive? That question sits at the center of Hunterbrook Media's latest investigation into skilled nursing facilities (SNFs), and the answer, as Stacey Richter puts it, matters to self-insured employers and anyone else paying for healthcare. In this episode, Stacey speaks with Michelle Cera, PhD, investigative reporter at Hunterbrook Media, whose investigation — triggered by a tip from an overwhelmed elder abuse attorney — uncovered a pattern of systematic understaffing, self-reported CMS STAR rating manipulation, executive bonuses tied to expense-cutting, and related-party financial engineering that funnels Medicare and Medicaid dollars straight back to corporate, while the most vulnerable patients pay with their health and their lives. WHAT YOU'LL LEARN ✅ How for-profit SNF chains systematically recruit the sickest patients to maximize Medicare and Medicaid reimbursement, then staff below what those patients actually need — keeping the difference as profit and, in some cases, doubling executive bonuses in a single year ✅ How Hunterbrook analyzed millions of publicly available CMS data points across roughly 14,000 skilled nursing facilities, applying a UCSF-developed expected-hours formula tied to patient acuity, to quantify the gap between staffing hours billed and care hours actually provided ✅ Why CMS STAR ratings — the primary tool consumers use to choose nursing homes for loved ones — are largely informed by self-reported, unaudited facility data, and how former employees described manipulation of those ratings as rampant ✅ How related-party transactions allow SNF chains to route Medicare and Medicaid dollars through owned subsidiaries for goods and services like pharmacy, equipment, and insurance — with CMS flagging the overcharges as disallowed costs but lacking any mechanism to recoup them ✅ How a 2024 CMS final rule establishing a federal minimum of 3.48 HPRD (hours per resident day) and a 24/7 on-site registered nurse requirement was ultimately rescinded after industry lobbying — and what that rescission reveals about regulatory capture in the SNF sector ✅ Four concrete policy fixes: codify federal minimum staffing hours adjusted for patient acuity, strengthen reporting standards and auditing so no quality metric is entirely self-reported, create a recoupment mechanism for flagged related-party overcharges, and reform STAR ratings so consumers can distinguish independently verified data from self-reported data WHY THIS MATTERS Right now, Stacey argues, we are endlessly trying to keep up with thousands of profit-extracting geniuses and creating mazes of complexity to regulate actors who have no societal construct keeping them in check. The SNF sector is a case study in what happens when there is no agreed-upon definition of harm — when perverse incentives are just incentives. These are taxpayer, employer, and patient co-insurance dollars potentially going into someone's pocket while a patient is simultaneously being hurt. The 65-plus population is growing, the market is expanding, and — as Hunterbrook's research shows — the model that works from a profit perspective is to take sicker patients, cut the highest-paid staff first, and grade your own homework so no one notices. That playbook, once proven, spreads fast. === LINKS ===

It was 3 o'clock in the morning when Scott Middleton finally signed the papers. The merger was official. And within days, he was already on the road — visiting facilities, riding along with providers, and spotting the same gap everywhere he went: brilliant clinicians doing real work that was completely invisible to the system. In this episode of The Disrupted Podcast, Jamie sits down with Scott Middleton, calling in from Boston, to unpack what he's discovering on the ground in the newly merged Your Health organization — and why tracking your time isn't about paperwork. It's about protection, proof, and getting paid for every minute of care you're already delivering. What you'll hear in this episode: The Dr. Jeeve story: a high-producing doc who managed a nursing home crisis by phone, saved a patient from an unnecessary ER visit — and never billed for it, leaving Medicare with no record of his intervention Why not documenting a visit before a hospitalization doesn't just cost you revenue — it makes you look like a bad provider, even when you did everything right How insurance companies like United Healthcare boldly take 15% off the top of every healthcare dollar — and why that math means providers can't afford to give their time away for free The TCPA pattern Scott keeps seeing: 15,000–18,000 visits a month, almost entirely in nursing homes, with zero follow-up once patients go home The new post-discharge standard: every patient leaving a nursing home gets a telehealth visit within 48 hours, then weekly follow-up for four weeks — no one gets left in the gap This episode is a masterclass in understanding that documentation isn't bureaucracy — it's how you tell your story, protect your reputation, and keep the care you've already given from disappearing. www.YourHealth.Org

What if the people case-managing your care had a financial reason to keep you sicker? That's the uncomfortable question Scott Middleton puts on the table in this episode — recorded live from the American Case Managers Conference in Orlando, where Scott went to learn, and ended up being told Your Health didn't "fit" because they weren't a hospital. Jamie and Scott unpack what the nurse case manager role actually looks like at Your Health — and why moving case management out of hospitals and into patients' homes isn't just better care, it's better economics. Scott shares the research proving the model works: 50% reduction in Medicare spend when patients are seen at the right frequency by the right people. In this episode: Why hospitalists may be "the demise of the American healthcare system" The difference between nurse practitioners (diagnose and treat) and nurse case managers (assess and guide) — and why blurring them costs patients The 16.05-visits-per-risk-point model David Clemens' research validated How coding departments are quietly diagnosing patients with diseases they don't have Why Medicare's 6-year insolvency window may be the disruption we need Head-to-toe assessments, delegation rights, and the real job of an RN in the home If you've ever suspected the system is working exactly as designed — just not for the patient — press play. www.YourHealth.Org

Welcome to Health-e Law, Sheppard's podcast exploring the fascinating health tech topics and trends of the day. In this episode, Ernie Ianace, founder and CEO of CareAlly, joins partner and host Michael Orlando to explain how AI orchestration can allow skilled nursing facilities to automate complex workflows, while keeping humans in the loop for clinical and regulatory decisions.   What we discuss in this episode: What CareAlly is, and the day-to-day issues it addresses for skilled nursing facilities How executives should approach choosing the first workflow to automate in a modular AI architecture What makes a good starting point to quickly demonstrate value without threatening existing staff What human-in-the-loop looks like in practice for operators, clinicians and compliance teams How the implementation differs in the skilled nursing environment compared to other healthcare settings How real-time data sharing changes care management, denial prevention and outcomes in these value-based arrangements How to avoid AI sprawl of various disconnected, independent systems   Upcoming Webinar Register now for our April 23 webinar: AI for SNFs: A Roadmap for Reducing Costs, Improving Care and Gaining a Competitive Advantage.    About Ernie Ianace Ernie Ianace is the CEO of CareAlly, an AI orchestration platform purpose-built to address healthcare's most urgent operational challenges: workforce shortages and care coordination breakdowns. A founder and growth-focused executive with more than two decades of experience, Ernie has built and scaled technology companies across healthcare, senior living, cybersecurity, IoT, and AI. Throughout his career, he has led global commercial teams, launched new markets, and forged strategic partnerships that have collectively generated over $3 billion in exit value. In addition to his role at CareAlly, Ernie serves as Chief Commercial Officer of InsightAlly.ai, the parent company behind a versatile AI orchestration engine serving healthcare, government, education, and enterprise productivity sectors. In this role, he drives strategic commercialization and market expansion, helping organizations streamline complex workflows and reduce operational friction at scale.   About Michael Orlando Michael Orlando is a partner in Sheppard's San Diego (Del Mar) office. He is team leader of the firm's Technology Transactions team, a member of the Life Sciences, Healthcare and Artificial Intelligence teams, and co-leader of the firm's Digital Health & Innovation team. Michael has more than 20 years of experience advising health technology companies, insurers, healthcare systems and providers, academic medical centers and research institutions, medical device manufacturers, pharmaceutical and wellness companies on intellectual property and business transactions in key strategic areas, including EHR systems procurement and integration, telehealth, mobile health applications, clinical decision support technologies, artificial intelligence, data use, wearable devices, remote patient monitoring, medical devices and equipment, research and collaborations, patent licenses, software licenses, joint ventures, mergers and acquisitions, revenue cycle management, and other outsourcing transactions.  Michael founded a software-as-a-service company before entering private practice and completed an in-house secondment at a publicly traded biotechnology company, an experience that informs his practical and business-focused approach to client engagements.   Resources:  CareAlly   Thank you for listening! Don't forget to SUBSCRIBE to the show to receive new episodes delivered straight to your podcast player every month. If you enjoyed this episode, please help us get the word out about this podcast. Rate and Review this show on Apple Podcasts, Amazon Music, or Spotify. It helps other listeners find this show. This podcast is for informational and educational purposes only. It is not to be construed as legal advice specific to your circumstances. If you need help with any legal matter, be sure to consult with an attorney regarding your specific needs.

Episode Notes In this episode of the DASON Digest, we discuss Dr. Amy Kang's study on antimicrobial transition errors from hospitals to skilled nursing facilities, highlighting that nearly one-third of patients experience errors and why stewardship efforts must extend beyond hospital discharge to improve continuity, safety, and infection outcomes. The article from the episode can be viewed here: https://pubmed.ncbi.nlm.nih.gov/41852555/ For more information about DASON, please visit: https://dason.medicine.duke.edu/

Join Nicki and Jess as they dive into the journey of Clostridioides difficile (C. diff) infections as patients move between hospitals and Skilled Nursing Facilities (SNFs). They're joined by special guests Kelly, Glenn, and Cory, who help unpack insights from a massive U.S. study of over 86,000 hospitalizations. Together, they explore why so many patients are discharged to SNFs after a C. diff infection, why those coming from SNFs face higher mortality, longer hospital stays, and higher costs, and what this all means for care coordination. Additionally, they break down the stats, discuss the real-world implications, and explain how hospitals and SNFs can work together to improve outcomes for older adults. Tune in for a lively, informative conversation about the challenges and opportunities of navigating care transitions after C. diff. With special guests: Kelly R Reveles, PharmD, PhD, Associate Professor, The University of Texas at Austin College of Pharmacy, Glenn S Tillotson, PhD, Partner, GST Micro, and Cory Evans, OTR/L, CEO, Clinware Solutions, Inc.

In this episode of The Disrupted Podcast, Jamie and Scott have a  raw, specific, and deeply personal conversation about Care Managers: who they are, what they're actually supposed to do, and why getting this role wrong is costing patients their health and organizations millions of dollars. Scott opens with a story that hits hard: his 91-year-old father's recent hospitalization, the mistakes that nearly happened, and what it cost him — financially and emotionally — to navigate a system that wasn't built for the patient. What you'll hear in this episode: Why care managers are controllers, not schedulers — and what happens when organizations get that wrong The medication reconciliation crisis: how discharge errors are sending patients straight back to the ER How Your Health's new geographic mapping tool is transforming how care teams schedule 30 days of visits in advance The shared bonus model designed to stop care team members from fighting over visits — and start winning together What care managers should never be doing — and the analytical skill set that separates great ones from average ones If you're building care teams, leading a healthcare organization, or just trying to keep a loved one safe in a broken system, this episode will change how you think about the people standing between your patients and the hospital. www.YourHealth.Org

In this episode of Disruption/Interruption, KJ sits down with Gennadi Seko, founder and CEO of Oxilight, who is revolutionizing wound care diagnostics by transforming smartphones into powerful medical imaging devices. Gennadi shares his personal journey from Bay Street finance to medical physics, driven by his grandmother's diabetic foot amputation. He discusses how his company is disrupting the medical device industry by making diagnostic technology portable, affordable, and accessible—moving critical wound care assessments from expensive hospital labs to patients' homes. This conversation explores the intersection of deep tech innovation, healthcare accessibility, and the power of multimodal diagnostics in saving lives and limbs. Four Key Takeaways [26:19] Multimodality is the Game Changer - Instead of multiple expensive single-purpose devices sitting on shelves, combining three technologies (multispectral imaging, fluorescence imaging, and thermal imaging) into one $200 smartphone attachment provides a 360-degree view of wound health and dramatically improves diagnostic specificity. [9:29] The Diabetes Crisis is Escalating - 27% of seniors (65+) in the United States have diabetes, and the disease is now affecting people as young as 25. Diabetic foot complications account for 80% of all non-traumatic amputations, making early detection critical. [21:44] Mobility Saves Lives and Money - Moving diagnostic technology to patients' homes solves the compliance problem and enables early intervention. Preventing one amputation saves healthcare systems 10x in costs while dramatically improving patient quality of life. [14:50] Physiological Imaging Beats Anatomical Measurement - Traditional wound measurement with rulers only tracks size over time, requiring multiple visits. Physiological imaging provides immediate prognostic information from a single snapshot, identifying whether a wound will heal normally or requires intervention. Quote of the Show (23:27): “I don't want to improve hospital healthcare. I want to improve healthcare in general." - Gennadi Seko Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Gennadi Seko: LinkedIn: https://www.linkedin.com/in/gennadisaiko/Company Website: https://oxilight.ca How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlDSee omnystudio.com/listener for privacy information.

Program notes:0:38 Childhood vaccinations nationally1:30 Across 45 states and DC2:34 Level of vaccine protection3:34 Professional societies stepping in3:51 Skilled nursing facilities 4:51 Estimated operating capacity5:51 Backups into hospitals6:51 Staffing not returned to pre-pandemic levels7:35 Prescribing patterns of CNS active meds in older adults8:36 Several classes of medication examined9:36 Last line medications9:50 Mifepristone regulation historically10:50 Consistent findings on safety11:50 FDA looking at REMS12:50 End

In this week's podcast, we sit down with Drs. Sarguni Singh, Christian Furman, and Lynn Flint, three authors of the recent Journal of the American Geriatrics Society article, "Rehab and Death: Improving End-of-Life Care for Medicare Skilled Nursing Facility Beneficiaries."  The authors dive into the challenges facing seriously ill older adults discharged to Skilled Nursing Facilities (SNFs), where fragmented care transitions, misaligned Medicare policies, and inadequate access to palliative care often result in burdensome hospitalizations and goal-discordant care.  The discussion highlights key barriers in Medicare's SNF and hospice benefits, including the inability to access concurrent hospice and SNF care, and explores solutions to improve care. Among the recommendations is leveraging Medicare's Patient Driven Payment Model (PDPM) to reimburse SNFs for providing palliative care, commissioning a Government Accountability Office (GAO) report on SNF utilization at the end of life, and piloting a model that allows time-limited concurrent hospice and rehabilitation care.  Also, check out these two resources if you want a deeper dive: Our past podcast we did, now nearly 6 years ago, on the original NEJM paper, Rehabbed to Death. Joan Carpenter's article titled "Forced to Choose: When Medicare Policy Disrupts End-of-Life Care" in the Journal of Aging & Social Policy  

On episode 531 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Danine Bitting, RN, RAC-CT, a Clinical Compliance Specialist with Friends Services Alliance Compliance Collaborative, and Maria Kiwagama, MSN/MHA, CDP, CNDLTC, the Director of Nursing of Barclay Friends' Continuing Care Retirement Community in West Chester, PA. In the course of their conversation, Keith and his guests discuss the Friends Services Alliance Compliance Collaborative's program that supports and mentors Directors of Nursing of skilled nursing and long-term care facilities in order to assure their success as leaders, not to mention the ultimate success of the facilities which they helm. Danine Bitting is a Clinical Compliance Specialist with Friends Services Alliance Compliance Collaborative (FSA), in Blue Bell, Pennsylvania. FSA provides a spectrum of services for the nonprofit senior living industry. Danine has over 25 years of experience in long-term care, with a strong focus on enhancing the quality of life for residents and driving meaningful change in clinical systems. As a former Director of Nursing, Danine led two 5-STAR, non-profit facilities with goals to improve resident life and care via Person Centered Care and developing realistic systems. Danine has worked closely with two hospital networks in the Preferred Provider Network (PPN) to improve resident care following hospitalization and reduce re-hospitalizations.  Maria Kiwagama is a seasoned nursing professional with over a decade of experience in clinical management, quality improvement, and nursing education. She currently serves as the Director of Nursing at Barclay Friends, a not-for-profit Kendal Affiliate that provides compassionate, home-like care for older adults. In her role, Maria oversees nursing operations across Barclay Friends' Continuing Care Retirement Community, which includes two long-term care units, two memory care units, and a Personal Care unit. She is responsible for ensuring high-quality resident care, regulatory compliance, and effective coordination of the nursing staff within the skilled nursing department. Before joining Barclay Friends, Maria spent six years at Waverly Heights, a Life Plan Community in Gladwyne, Pennsylvania, where she held roles as Nurse Manager and RN-Assessment Coordinator. She is a Certified Dementia Practitioner and holds additional certifications in Wound Care and Infection Control and Prevention. Maria recently earned a dual master's degree in Nursing Leadership and Healthcare Administration and is currently completing an Administrator in Training (AIT) program, further strengthening her leadership in long-term care. Connect with Friends Services Alliance and Barclay Friends: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Friends Services Alliance FSA on LinkedIn Barclay Friends Continuing Care Barclay Friends on Facebook Barclay Friends on LinkedIn Barclay Friends on Instagram Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at ⁠⁠⁠⁠NurseKeith.com⁠⁠⁠⁠. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on⁠⁠⁠⁠ LinkedIn⁠⁠⁠⁠. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer and reader of the tarot who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at ⁠⁠⁠⁠TheCircelandtheDot.com ⁠⁠⁠⁠or shada@thecircleandthedot.com.

Hot take: I loved working in a Skilled Nursing Facility. Skilled nursing facilities are one of the highest paid settings for occupational therapy professionals. And about one-fifth of us work in one. But, work in one can have a bad rap. In today's intro to SNF OT course, we'll walk through the common challenges, and immense opportunities of working in a SNF. We'll cover the specific things you need to know, from payment models to common assessments. And, we'll paint a picture of how you as an OT can really be a driver of culture and care in this unique and important setting.We'll be joined by Trent Brown, MOT, OTR/L, ATP, CGCP, CFPS, BCG, a practicing occupational therapist, who is also a part of the Department of Health and Human Services (DHHS) as an assistant office director with a focus on developing and operating quality improvement programs, particularly in SNFs.Support the show

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Rob Lott interviews Robert Burke of the University of Pennsylvania about his recent paper which evaluates outcomes for skilled nursing facilities value-based purchasing programs. Order the June 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

In this episode of Profiles in Risk - Nick spoke with Matthew Queen co-founder and COO of Tricura, an MGA specializing in liability risks for skilled nursing facilities. About the Guest- Company: Tricura- Focus: Managing General Agent (MGA) in the insurance industry- Expertise: Skilled nursing facilities and specialized risk management Key Topics Discussed:1. MGA Model Evolution   - Comparison with traditional carrier models   - Increased agility and innovation capabilities   - Role in modern insurance market   - Specialization advantages2. Technology and Risk Management   - Integration of modern technology   - Challenges with legacy systems   - Innovation in underwriting processes   - Data-driven decision making3. Underwriting Approach   - State law considerations   - Decision-making speed   - Risk assessment methodology   - Portfolio management strategies4. Actuarial and Underwriting Dynamics   - Comparison of actuaries to fortune tellers   - Underwriter role as calculated risk-takers   - Modern hedge fund-like approach   - Balance of art and science in underwriting5. Strategic Portfolio Management   - Claims payment importance   - Long-term profitability focus   - Risk management strategies   - Portfolio diversification Additional Context:- Episode focuses on the evolving role of MGAs in the insurance market- Highlights the importance of specialization and innovation in insurance- Discusses the balance between traditional insurance principles and modern approaches- Emphasizes the importance of agile decision-making in today's market

Immense pressure on hospitals from the COVID-19 pandemic prompted CMS to waive its three-day rule for skilled nursing facility (SNF) care. Effective March 1, 2020, this waiver allowed patients to transfer to SNFs without the usual inpatient criteria or a three-day hospital stay. A recent study by Northwestern Medicine published in the Journal of American Geriatrics Society explores the trends in hospital discharges to SNFs during this period.Join study authors Lee A. Lindquist, MD, MPH, and Marianne Tschoe, MD, on this episode of the Better Edge podcast as they discuss their research and findings.

Episode Highlights:Understanding Independent Living: DG shares insights into independent living communities and the benefits they offer, such as safety, security, and socialization. Learn about potential challenges like cost and planning.Assisted Living Explained: A deep dive into the different levels of assisted living—from basic housekeeping and meals to more comprehensive healthcare services. What are the pros and cons? Find out in this episode!Personal Care Homes vs. Family Care Homes: Discover the differences and understand which might be the best fit for those who need one-on-one assistance with daily activities.Skilled Nursing Facilities and Hospice Care: DG discusses what you need to know about nursing home care and hospice services. Learn about the emotional and practical aspects of these important choices.Other Options & Programs: Get informed about continuum of care communities and the innovative PACE program. Explore why these might not be as ideal as staying in your own home with services brought directly to you.Special Mentions:Don't miss the deeper dive into PACE programs in Podcast #76 from March 2023.Veterans benefits are covered in Podcast #12 from December 2021.Discover more about long-term care insurance in Podcast #113 from earlier this year.Consult with Us: Planning for the future is crucial. Aging with Grace offers individualized consultations to help you determine the best living and care options tailored to your personal needs and preferences. Call us at 859-539-2147 to schedule an appointment.Stay Connected: For more resources, guidance, and to listen to our latest podcasts, visit our website at agingwithgraceinfo.org.Thank you for being a part of our community. Let's navigate this journey together, aging gracefully and living independently!Connect with Aging with Grace at agingwithgraceinfo.org

S1E16: Skilled Nursing Facility at Home with Dr. David Levine Host: Frank Cutitta Guest: David M Levine, MD, MPH, MA, general internist and clinician-investigator at Brigham Health and Harvard Medical School.and a global pioneer in the high acuity Hospital at Home (H@H) movement. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

An Occupational Therapist assistant by trade, Kacie Pritt, Regional Director of Development of HCF Management and BTG Ambassador, shares first-hand tactics and strategies for building occupancy in skilled nursing facilities. Produced by Solinity Marketing.Sponsored by Accushield, Aline, NIC MAP Vision, Procare HR, Sage, Hamilton CapTel, Service Master, The Bridge Group Construction and Solinity. Become a sponsor of Bridge the GapConnect with BTG on social media:YouTubeInstagramFacebookTwitterLinkedInTikTokMeet the Hosts:Lucas McCurdy, @SeniorLivingFan Owner, The Bridge Group Construction; Senior Living Construction Renovation, CapEx, and Reposition. Joshua Crisp, Founder and CEO, Solinity; Senior Living Development, Management, Marketing and Consulting.

Heart Failure is a complex and costly disease to manage. In an effort to increase patient quality of life while decreasing readmissions and cost of care, our organization hired a dedicated APRN to consult on patients in select Skilled Nursing Facilities and work collaboratively with the staff. The 30-day readmission rates of the SNF patients cared for by the APRN is on average, 12% lower than those not. It is estimated this program prevented an overall cost of care of approximately $657K.

Dad fell last week and fractured his hip. On this episode, we’re updating everyone on his health and telling the story of his injury and treatment as a way into talking about what we’ve learned and what we need to know related to hospice care, Medicaid, Medicare, Skilled Nursing Facilities, and Longterm Care. Recorded Thursday, … Continue reading "Dad Health Update, Hospice, Medicaid, Skilled Nursing, and Longterm Care"

In the podcast, guests Dr. Cynthia Lakon and Dr. John Hipp discuss their research on the socio-spatial health disparities during the COVID-19 pandemic in US skilled nursing facilities. They discuss the factors that influence the pervasiveness of the pandemic within these facilities, such as the social and economic condition of the surrounding area, the funding allocated to the nursing home, and the size of the nursing home itself. They also delve into the methodology of their research, their data sources, and the crucial role of considering geographic context in their study. Tune in to learn more about this critical aspect of public health. With special guests: Cynthia M. Lakon, Ph.D, Professor in the Department of Health, Society, and Behavior, University of California - Irvine and John R. Hipp, Ph.D, Professor in the Department of Criminology, Law, and Society, and Sociology, University of California - Irvine

Skilled Nursing Facilities vs. Nursing Homes: What You Need to KnowOften skilled nursing facilities (SNF) and nursing homes are used interchangeably as many facilities offer both services, however, they are two separate things. With the negative stigma surrounding nursing homes, it is important to know the difference between the two and use proper terms when communicating with your patients and their families. That's why this week on The Amplify OT Podcast, I am talking about the differences between skilled nursing facilities and nursing homes so you can better communicate the right care with your patients!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.In this episode, I cover:The fundamental differences between SNFs and nursing homes come down to the reimbursement, type of services provided, and length of stay. Statistics on SNFs and nursing homes, including ownership, profit status, and services offered. Medicare and Medicaid's role in funding these facilities and how this affects the services that patients receive. Practical tips on discussing care options with patients, alleviating common fears, and overcoming the stigmas associated with these facilities.Thanks for listening! If you found this episode helpful, don't forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/ Have a question or just want to say hello? Call or text +1 (919)-341-9289 to have your questions answered on the podcast! *Message and Data Rates May ApplyAmplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:CMS.gov State Operations Manual- Survey and Enforcement Process for Skilled Nursing Facilities and Nursing FacilitiesU.S. Bureau of Labor Statistics: Occupational Employment and Wage Statistics for SNFs (May 2023)

Episode: April 2024 Host: Karl Steinberg, MD, HMDC, CMD Guest(s): E-Shien (Iggy) Chang, PhD; Barbara Resnick, PhD, CRNP (co-editor-in-chief) In This Episode: In this episode, host Dr. Karl Steinberg, MD, CMD, and co-editor-in-chief Dr. Barb Resnick, PhD, CRNP, will talk with Dr. E-Shien (Iggy) Chang, PhD, about her work exploring overt racial and ethnic conflict in resident-to-resident aggression in long-term care facilities. In addition to Dr. Chang's paper, the following articles will be highlighted and reviewed: An Integrative Review of the State of POLST Science: What Do We Know and Where Do We Go?; Exploring Predictive Factors for Potentially Avoidable Emergency Department Transfers: Findings From the FINE Study; and LGBTQ+ Inclusivity Training and Education: A Toolkit for Skilled Nursing Facilities.  Articles Referenced: Exploring Overt Racial and Ethnic Conflict in Resident-to-Resident Aggression in Long-Term Care Facilities An Integrative Review of the State of POLST Science: What Do We Know and Where Do We Go? Exploring Predictive Factors for Potentially Avoidable Emergency Department Transfers: Findings From the FINE Study LGBTQ+ Inclusivity Training and Education: A Toolkit for Skilled Nursing Facilities Date Recorded: April 12, 2024 Available Credit: The American Board of Post-Acute and Long-Term Care Medicine (ABPLM) issues CMD credits for AMDA On-The-Go and affiliate podcast episodes as follows: Claim CMD Credit

Dr. Ahzam Afzal, Co-Founder and CEO of Puzzle Healthcare, aims to reduce readmission rates to hospitals and skilled nursing facilities by focusing on discharge planning and post-acute care. High readmission rates can result in financial penalties and are often caused by the complexity of the patient's condition and social determinants of health. Puzzle is working with health systems and SNFs to implement a readmission prevention program that includes physiatry and care coordination 90 days after discharge.  Ahzam explains, "Hospital readmissions have become a focal point for our healthcare systems for several reasons. First and foremost, they are a key indicator of the quality of care being provided by these facilities. High readmission rates often suggest that patients may not be receiving the comprehensive care they need during their hospital stay or the necessary support post-discharge. This could be due to inadequate discharge planning, insufficient patient education on their conditions, or a lack of effective follow-up care."   "Additionally, readmissions place a substantial financial burden on healthcare facilities. Under the Affordable Care Act, hospitals with higher than expected readmission rates for certain conditions face significant penalties including reduced Medicare reimbursements. This policy was also extended to skilled nursing facilities through the Skilled Nursing Facility Value-Based Purchasing program, which penalizes SNF facilities based on their readmission rates starting in 2024."  #PuzzleHealthcare #ReadmissionPrevention #Hospitals #SkilledNursingFacilities #ValueBasedCare #PostAcuteCare #SDOH puzzlehealthcare.com Download the transcript here

Dr. Ahzam Afzal, Co-Founder and CEO of Puzzle Healthcare, aims to reduce readmission rates to hospitals and skilled nursing facilities by focusing on discharge planning and post-acute care. High readmission rates can result in financial penalties and are often caused by the complexity of the patient's condition and social determinants of health. Puzzle is working with health systems and SNFs to implement a readmission prevention program that includes physiatry and care coordination 90 days after discharge.  Ahzam explains, "Hospital readmissions have become a focal point for our healthcare systems for several reasons. First and foremost, they are a key indicator of the quality of care being provided by these facilities. High readmission rates often suggest that patients may not be receiving the comprehensive care they need during their hospital stay or the necessary support post-discharge. This could be due to inadequate discharge planning, insufficient patient education on their conditions, or a lack of effective follow-up care."   "Additionally, readmissions place a substantial financial burden on healthcare facilities. Under the Affordable Care Act, hospitals with higher than expected readmission rates for certain conditions face significant penalties including reduced Medicare reimbursements. This policy was also extended to skilled nursing facilities through the Skilled Nursing Facility Value-Based Purchasing program, which penalizes SNF facilities based on their readmission rates starting in 2024."  #PuzzleHealthcare #ReadmissionPrevention #Hospitals #SkilledNursingFacilities #ValueBasedCare #PostAcuteCare #SDOH puzzlehealthcare.com Listen to the podcast here

Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities [Replay]Today's episode is all about the Patient-Driven Payment Model (PDPM) in Skilled Nursing Facilities (SNF).Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokLINKS MENTIONED IN THIS EPISODE:Amplify OT SNF Resources ©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy. Join the Membership Today

Embark on a journey through the intricate dance of marketing to Skilled Nursing Facilities with us, your guides Dawn Fiala, Lisa Marsolais, and Valerie VanBooven. Each of us brings a wealth of experience in home care, digital marketing, and sales, ready to spill our secrets on establishing a robust foothold in these critical healthcare hubs. We'll unwrap the layers of successful communication and unpack strategies that speak directly to the hearts of SNF staff, all while keeping patients and their seamless transition to home care at the core of our conversation.Navigating the post-discharge landscape can be fraught with challenges for patients, and our episode zeroes in on how to mitigate these with grace and expertise. We share our personalized approach to easing seniors into home care, touching on flat rate discharge packages that address financial anxieties, and the art of building trust with social workers tasked with orchestrating these delicate moves. It's about more than just care—it's about crafting a story of comfort and safety that resonates with families and healthcare providers alike.As the cherry on top, we turn the spotlight on creative marketing strategies and the power of personalized touches. Think custom gifts that celebrate the dedication of healthcare workers, themed events that highlight the importance of home care in managing conditions like Parkinson's, and the clever use of promotional items that keep your brand at the forefront of occupational therapists' minds. Plus, don't miss out on the chance to be part of our Sales Mastery Training expansion, where we delve deeper into the mastery of the home care market. This episode isn't just a guide; it's an invitation to transform your approach and become a cornerstone in the transition from skilled nursing facilities to comforting home care.

When an older adult needs to sell their home, they should seek out a real estate agent holding a  Seniors Real Estate Specialist (SRES) designation. In the latest episode of Beyond the Balance Sheet, Adam Hayes, owner of Milestones Realty, explains the benefits of engaging an agent holding the SRES distinction. He also sheds light on the challenges older adults might overlook in today's real estate market.  If you are considering selling your home, this is an essential episode you won't want to miss.   IN THIS EPISODE: [2:04] Adam describes the difference between a Realtor and a Seniors Real Estate Specialist  [7:59] Adam compares a home to a family member [9:33] Why older adults need help navigating the real estate market [14:12] How AI can play a role in deceiving a seller [21:50] Adam discusses knowing who the decision-maker is [24:20] Additional ways to protect your client [29:38] There needs to be a good relationship between the agent and the owner, and getting a qualified agent [34:29] What Adam has learned over the years   KEY TAKEAWAYS: [20:01] Bad actors can steal items from a listed home if an agent is not careful what pictures they include in a listing [22:12] You must find out who the decision-maker is at the onset of the listing process [24:44] Pay special attention to the signage used on vehicles coming to the home. Those signs may alert bad actors.   RESOURCES:   Beyond the Balance Sheet Website   Milestones Realty - Website   Milestones Realty - Facebook   Adam Hayes - LinkedIn   Adam Hayes - Twitter   BIOGRAPHY:  Adam Hayes has been a Seniors Real Estate Specialist ® since 2008 and the Broker-Owner of Milestones Realty. Founded in 2009, Milestones is a trusted resource for many Elder Law Attorneys. It occupies an unexpected space among real estate brokerages as they focus on serving and advocating for Older Adults and Special Needs Clients.  The genesis for Milestones was the unpleasant experience of rescuing my Dad from an unsafe living situation in 2001. Little did I know that my negotiating and people skills would be demanded just for the seemingly simple act of moving Dad into a Skilled Nursing Facility.  My wife and I spent three months and several thousand driving- miles dealing with concerns, repairs, clean-outs, and other assorted loose ends. Years later, I thought, I'd been in training my whole adult life for that Olympian task, and nothing truly prepared me for the energy drain of helping him.  I bring an “insider's empathy” to the equation and meet clients where they are emotionally and physically with unwavering respect for their tolerances and abilities.

Good morning from Pharma and Biotech daily: the podcast that gives you only what's important to hear in Pharma and Biotech world. According to recent data from KFF, over 10 million people have lost their Medicaid coverage as states continue to assess eligibility and terminate coverage for those deemed ineligible. This comes as states have assessed the eligibility of 28 million Americans in total. The decline in employment in skilled nursing facilities is raising concerns, with regulators, healthcare industry leaders, and workers' unions split on how to make roles more attractive. Leapfrog Group CEO Leah Binder noted that while hospitals have improved on infection control following the COVID-19 spike, patient experience scores have declined, potentially due to ongoing labor shortages. In healthcare worker news, nearly 1,400 nurses at Providence Regional Medical Center in Everett, Washington are set to begin a five-day strike on November 14. Concerns about the demand for obesity drugs impacting medical devices and procedures have led to a $370 billion decrease in value across the medtech sector, according to research. In regulatory news, CMS has finalized rules for Medicare hospital and doctor payments for 2024, as well as implementing fixes for the 340B drug pricing program and price transparency requirements. Finally, disputes between hospitals and workers are expected to continue even as the pandemic subsides, potentially leaving patients caught in the middle amid strikes and bottlenecks in care.Bristol Myers Squibb (BMS) has acquired an antibody-drug conjugate (ADC) asset from South Korean biotech Orum Therapeutics for $100 million upfront. This deal comes after BMS's previous acquisition of Tubulis in April 2023, as the company continues its buying spree in the ADC space. BMS is expanding its portfolio of ADCs, which are a type of targeted cancer therapy that combines an antibody with a chemotherapy drug. The acquisition from Orum Therapeutics will add to BMS's pipeline of innovative cancer treatments. In other news, Kodiak Sciences is giving its failed eye drug, tarcocimab tedromer, another chance after new data convinced the company to continue its development. The drug had previously experienced late-stage failures, but the positive results from a phase III trial have prompted Kodiak Sciences to revive the project. Pfizer is implementing a $3.5 billion cost-cutting program, which includes laying off approximately 200 employees at its manufacturing facility in Kalamazoo, Michigan. The company is facing declining sales from its COVID-19 business and aims to mitigate the impact through cost reductions. Travere Therapeutics is hoping to regain momentum for its kidney disease drug, filspari, after two late-stage failures. The company has released positive results from two phase III studies in an attempt to revive the drug's prospects in treating iga nephropathy and focal segmental glomerulosclerosis. Overall, these developments highlight ongoing activity and advancements in the biopharmaceutical industry. Companies like BMS, Kodiak Sciences, Pfizer, and Travere Therapeutics are actively pursuing new opportunities and strategies to drive innovation and address unmet medical needs.Pharmaceutical companies like J&J and Pfizer have established in-house bioethics expertise to address the numerous ethical issues facing the industry. One example is direct-to-consumer advertising, which bioethics professor Arthur Caplan describes as a "disaster." Caplan argues that these ads, which often have large budgets, are minimally effective and unlikely to influence patients to ask their doctors about specific medications. Caplan believes that addressing these ethical considerations could help improve the pharmaceutical industry's reputation. Additionally, investor concerns about the impact of obesity drugs on medical devices and procedures have led to a $370 billion decrease in the value of medtech stocks. Thermo Fisher Scientific has r

This episode covers some of the activities presented by UCSF faculty and staff at the SGIM 2023 conference in Golden, CA in May 2023. We have interviewed many of the presenting individuals. There are no specific clinical updates in this episode. Abstracts can be obtained @ JGIM. Other links in the show notes are provided by the authors themselves. Posters and talks | 01.03 - Dr. Alex Beagle: Sepsis associated IVF use in HF vs non-HF | | 02.55 - Dr. Ritu Bansal: Post-retirement planning for Hospitalists | | 04.23 - Dr. Timothy Judson: AI-powered chatbot for monitoring chemo patients' symptoms | | 07.34 - Lorraine Pereira: Using Human Centered Design to evaluate geriatric interventions |  | 09.13 - Dr. James Harrison: Understanding resident knowledge around Skilled Nursing Facilities |  | 10.56 - Dr. Himali Weerahandi: Using Intersectional analysis to address inequity in academic research |  Case presentations | 12.42 - Dr. Ritu Bansal: Working with a patient with bad healthcare experiences | | 14.04 - Dr. Natalie Sohn: A differential for cost-associated medicatio non-adherence |  | 15.40 - Dr. Anand Habib: The use of medical respite | |17.45 - Closing | [The appearance of external hyperlinks does not constitute endorsements by UCSF of the linked websites, or the information, products, or services contained therein. UCSF does not exercise any editorial control over the information found therein, nor does UCSF make any representation of their accuracy or completeness. All information contained in this episode are the opinions of the respective speakers and not necessarily the views their respective institutions or UCSF, and is only provided for information purposes, not to diagnose or treat.]  

Medicare and Medicaid Policy Updates: RUGS, PDPM, MDSIs Medicare No Longer Paying for OT in SNF?I've seen a lot of concern on social media and in my DMs about potential significant changes to PDPM in Skilled Nursing Facilities, specifically around Medicare no longer paying for OT in SNF. You can rest assured that there have NOT been any major changes to Medicare Part A for therapy but other changes have been made. That's why this week on The Amplify OT Podcast, I am talking about updates to PDPM in Skilled Nursing Facilities (SNF) and when these changes are set to take place.Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.The updates I cover in this episode include:CMS finalized that it will no longer support the utilization of RUG payments for Medicaid programs. There have not been any cuts to Medicare Part A SNF funding but rather a 4% increase. Removal of Section G (former ADL section), integrating some items into Section GG (function and self-care).The changing of quality measure scores. Changes and modifications around COVID-19 policies. ICD 10 Code mapping changes for Parkinson's and COVID-19. Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksMedicare.gov Care CompareAOTA: Major Changes to the Minimum Data Set in Skilled Nursing Facilities Fiscal Year (FY) 2024 Skilled Nursing Facility Prospective Payment System Final Rule - CMS-1779-F | CMSOccupational Therapy in Skilled Nursing FacilitiesAmplify OT: SNF Resources Ep 5: Patient Driven Payment Model (PDPM) in Skilled Nursing Facilities

My 89-year-old mother has been dealing with dementia for quite a while and my 92 year old father sleeps most of the day. I cherish the moments I have with them, but I know their health is rapidly declining. In June, my mother fell and fractured her pelvis. She was in excruciating pain and finding […]

This event is a Living to 100 Club conversation between two psychologists about aging well. Our host, Dr. Joe Casciani will be interviewing Dr. Hugh Pates, a clinical psychologist with a specialty in working with older adults. We will discuss some of the central elements for a successful aging journey. This includes how people cope with the many physical, emotional, and personal setbacks that frequently occur as we age. We will explore how people face these setbacks, sometimes being adaptive and healthy, and sometimes being not so adaptive. Our guest shares his experiences as a professional who worked for many years with older adults. His patients faced a wide array of medical problems while residing in nursing homes. Time will be reserved for Q&A from the audience. This live event will take place at the Oasis Learning Center in La Mesa. It will simultaneously be recorded as a podcast. It also has been uploaded to the Oasis YouTube channel, https://www.youtube.com/watch?v=GHTO2P73niA Mini Bio Dr. Hugh Pates received his doctorate degree in 1970. He served as Professor and Dean of Students at the University of California for 25 years. Our guest has also served as President of the San Diego Psychological Association, The University City Community Association, University of California Retirees Association. He also was a Board member of the California Psychological Association.  For 20 years, he was an associate of Concept Healthcare Psychology Group, committed to serving the behavioral health needs of patients in Skilled Nursing Facilities. He continues in his professional psychology practice, working with a variety of adult and older adult patients. Our guest's articles on providing psychological interventions to meet the emotional and personal needs of seniors have been published in a variety of magazines and journals. He has a passionate belief that each individual can live a very long life with vibrant quality and strong purposefulness to the end of life.See omnystudio.com/listener for privacy information.

Exploring diet consistencies (including the great bread debate)... Identifying barriers of modified barium swallow studies (and what to do about them)... Encountering tough pills to swallow (literally)… ☝️ These are just three of the topics Theresa Richard and Gavin Levy discuss in the most recent episode of the Swallow Your Pride Podcast! Together, Theresa and Gavin look at evidence-based practices for medical SLPs while sharing their personal experiences on the job. Through this discussion, key takeaways focus on involving SLPs in dietary conversations, clinical documentation verbiage that reflects dietary needs when designing menus, and collaborating with caregivers, dieticians, and other medical professionals to further gain knowledge and improve patient outcomes. Timestamps: Implementations of Soft and Bite Size Diets: The Role of SLPs (05:44 - 10:58) Where Does Bread Fit in Alterations Diets? (10:59 - 16:15) Exploring the Benefits of Modified Diets for Patients on Altered Diets (16:15 - 21:25) Risks and Benefits of Video Fluoroscopy for Swallowing Studies (21:25 - 26:29) Advocating for Better Communication in Swallow Studies: Involving a Multidisciplinary Team (26:29 - 31:22) Team-Based Recommendations for Patient Care (31:23 - 36:06) The Role of Environment in Swallowing and Testing Outcomes (36:06 - 40:53) A Conversation on Safety,Staff Shortages, and Modifying Diets for Skilled Nursing Facilities (40:54 - 45:42) The Role of Speech Therapists in Medication Administration and Swallowing Studies (45:42 - 50:39) The Impact of Aspiration on Decision Making (50:40 - 55:35) Embracing Change and Connecting Research in Speech Therapy (55:35 - 01:00:34) Exploring Physical Therapy, Coordination of Respiration and Swallowing, and Dementia (01:00:34 - 01:03:22) The post 292 – How We Practice and What We Consider: A Discussion on Clinical Experience and Evidence with Gavin Levy appeared first on Swallow Your Pride Podcast.

A heated community meeting in Northeast Fresno took place Wednesday night about plans to turn The Quality Inn on Thesta Street near Bullard Avenue and Highway 41 into affordable housing. The city submitted an application for millions of dollars from the state to fund the project. A Riverside, California skilled nursing facility and its management healthcare services company agreed to pay California and the US $3.825 million to resolve allegations that they paid kickbacks to physicians to induce referrals, the U.S. Department of Justice announced Wednesday. The companies will pay $3,228,300 to the federal government and $596,700 to California. See omnystudio.com/listener for privacy information.

Why the confusion and the apparent uptick in denials by Managed Care Organizations (MCOs) for skilled nursing facility (SNF) transfers?Returning to report on this vexing topic during the next live edition of Monitor Mondays will be Ben Kartchner, MD, a physician advisor who will join the broadcast to present the final installment in his two-part series being produced by RACmonitor and Monitor Mondays.Dr. Kartchner will be adapting his recent presentation to the American College of Physician Advisors, exclusively for Monitor Mondays and RACmonitor. You will learn how to effectively counter MCO denials with newly gained knowledge from the broadcast, including the actual medical necessity requirements for SNF transfers.Broadcast segments will also include these instantly recognizable features:Monday Rounds: Mary Beth Pace, vice president of Trinity Health, will be making her Monday Rounds, substituting for Dr. Ronald Hirsch.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullen, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.Legislative Update: Matthew Albright, chief legislative affairs officer for Zelis, will report on current healthcare legislation.The Wrapper: John Zelem, founder and CEO of Streamline Consulting Solutions, will join the broadcast for a wrap-up on the morning's top stories.AgriFutures On AirThe official podcast channel for AgriFutures Australia. Listen on: Apple Podcasts Spotify

Medical necessity denials for skilled nursing facility (SNF) transfers by Managed Care Organizations (MCOs) are increasing at an astonishing rate.The reason seems to be a lack of understanding of the difference between skilled and non-skilled care. During an exclusive two-part series being produced by RACmonitor and Monitor Mondays, Ben Kartchner, MD will delve into this complex topic that is generating buzz, especially among physician advisors, many of whom appear to be struggling with post-acute care (PAC) and, specifically, SNF services. In fact, Dr. Kartchner will be adapting his recent presentation to the American College of Physician Advisors exclusively for Monitor Mondays and RACmonitor. You will learn how to effectively counter MCO denials with newly gained knowledge from the broadcast, including the actual medical necessity requirements for SNF transfers.Broadcast segments will also include these instantly recognizable features:Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will be making his Monday Rounds.The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullen, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.Legislative Update: Adam Brenman, a legislative analyst for Zelis, will report on current healthcare legislation.The Wrapper: John Zelem, founder and CEO of Streamline Consulting Solutions, will join the broadcast for a wrap-up on the morning's top stories.AgriFutures On AirThe official podcast channel for AgriFutures Australia. Listen on: Apple Podcasts Spotify

In this episode, Matt talks to Director of Rehabilitation Services Melanie Bieniek, at Frisbie Memorial Hospital, about the new Inpatient Acute Rehabilitation Center, the difference between a Skilled Nursing Facility and Acute Rehab, why it's so important for the community, and what inspired her to follow this career path.

As facilities continue to grapple with staffing shortages and financial distress, an unprecedented number of skilled nursing facilities are cutting beds or shutting down entirely. And, there doesn't seem to be an end in sight. Despite misconceptions about the value of skilled nursing facilities, these closures impact the entire healthcare ecosystem, and leaders can no longer ignore what is happening. In this episode, host Rachel (Rae) Woods invites post-acute care experts Monica Westhead and Blake Zissman to discuss the reasons behind these closures and the impact this has on the entire delivery system. Links: 4 predictions for post-acute care Why might 400 nursing homes close this year? [ahcancal.org] Nursing Home Closures: By the Numbers Delays in transitions to post-acute care

Want to be a guest or know someone would be a great fit? I am looking for military vets, active duty, military brats, veteran service orgs or anyone in the fitness industryLucy is the CEO/Chief Compliance Officer for S.H.I. Management - Structured Healthcare Information Management, LLC. She is a Military spouse, whose husband is an Army Veteran that struggled for years trying to get his VA Disability Benefits. She helped her husband understand each diagnosis in his records and appeal his denial which resulted in a reversal of getting his VA benefits. She is a Licensed Occupational Therapy Healthcare Practitioner for the past 14 years. and holds professional licenses in the state of Texas and Florida. she also has a B.S. in Health Information Management with over 14 years of experience in Clinical Documentation Auditing and Reviewing, and Revenue Cycle Management in the following settings: Outpatient, Ambulatory Care, Skilled Rehabilitation Services including Physical Therapy, Occupational Therapy, Speech Therapy, Geriatric, Pediatric Home Health, and Pediatric Services. I have provided Clinical Services in a variety of healthcare settings including Acute Care, Long-Term Acute Care, Pediatric Long-Term Acute Care, Skilled Nursing Facilities, Geriatric and Pediatric Home Health. S.H.I.' Management is a medical billing, medical coding, and medical records company that also provides medical record summaries and analysis to Transitioning Service Members, Medically Discharged Veterans and Veterans who are struggling to get approved for a V.A.Disability Rating. We request your medical records and break them down into layman's terms for people who struggle to understand medical terminology. Our vision and mission are to use a triple-check system to ensure that we have accurate and precise information in medical records and that every veteran, business, and consumer understands the role and importance of a medical record. We can be found on all of the social media platforms: Twitter, Linkedin, Facebook, and Instagram @ shimanagement, on our website @ https://www.shimanagement.net https://spouse-ly.com/store/SHI-managementSupport the show

Lucy is the CEO/Chief Compliance Officer for S.H.I. Management - Structured Healthcare Information Management, LLC.  She is  a Military spouse, whose  husband is an Army Veteran that struggled for years trying to get his VA Disability Benefits.  She helped her husband understand each diagnosis in his records and appeal his denial which resulted in a reversal of getting his VA benefits.   She is  a Licensed Occupational Therapy Healthcare Practitioner for the past 14 years. and holds  professional licenses in the state of Texas and Florida.  she also has a B.S. in Health Information Management with over 14 years of experience in Clinical Documentation Auditing and Reviewing, and Revenue Cycle Management in the following settings: Outpatient, Ambulatory Care, Skilled Rehabilitation Services including Physical Therapy, Occupational Therapy, Speech Therapy, Geriatric, Pediatric Home Health, and Pediatric Services.  I have provided Clinical Services in a variety of healthcare settings including Acute Care, Long-Term Acute Care, Pediatric Long-Term Acute Care, Skilled Nursing Facilities, Geriatric and Pediatric Home Health. S.H.I.' Management is a medical billing, medical coding, and medical records company that also provides medical record summaries and analysis to Transitioning Service Members, Medically Discharged Veterans and Veterans who are struggling to get approved for a V.A.Disability Rating.  We request your medical records and break them down into layman's terms for people who struggle to understand medical terminology.  Our vision and mission are to use a triple-check system to ensure that we have accurate and precise information in medical records and that every veteran, business, and consumer understands the role and importance of a medical record.    We can be found on all of the social media platforms: Twitter, Linkedin, Facebook, and Instagram @ shimanagement, on our website @ https://www.shimanagement.net https://spouse-ly.com/store/SHI-managementSupport the show

Dr. M. Elizabeth M. Younger of Johns Hopkins University School of Medicine joins IDF's Lynn Albizo and Stephanie Steele to discuss issues surrounding the use of Skilled Nursing Facilities for patients with Primary Immunodeficiency. Ask IDF: http://primaryimmune.org/askidf The information, terminology, and opinions presented in this forum do not necessarily reflect the views of IDF, its Board of Trustees, sponsors, or donors.

Episode 30 of Manchester Living Podcast is here! Today we discuss skilled nursing facilities (SNFs) and rehabs. What is the difference between an SNF and a rehab? What services are included and how is it paid form? What should a loved one expect out of an SNF or rehab? Join us to learn these answers and more! Our guests today are:Joni WatsonDirector of Healthcare OperationsPresbyterian Village NorthRoland CastilloDirector of Business Development for HealthcareCC YoungYour host is Brian Levy.http://www.ManchesterLivingPodcast.com

(Lander, WY) - "This is a big dang deal," commented Wyoming Representative and Healthcare Facilities Task Force Chairman Lloyd Larsen at the October 28 ribbon cutting ceremony for the Wyoming Life Resource Center (WLRC) construction project completion. The roughly $85 million remodeling project began in 2018 and saw the addition of various facilities, including 100 new beds spread over 10 new cottages. Aerial view of WLRC new residential cottages. h/t WLRC The cottages include two behavioral and three medical Intermediate Care Facilities (ICF), as well as two medical and three behavioral Skilled Nursing Facilities (SNF). The photos below are of the Sagebrush cottage, one of the medical Skilled Nursing Facilities, which each contain ten rooms and shared communal/medical areas. h/t Vince Tropea photo h/t Vince Tropea photo h/t Vince Tropea photo h/t Vince Tropea photo h/t Vince Tropea photo h/t Vince Tropea photo The ceremony began with a welcome from Wyoming Life Resource Center Facility Administrator Jeremy Forbis, an opening prayer from Rev. Walt Seeley of the Trinity Episcopal Church, and a Presentation of Colors and singing of the National Anthem from the VFW Post 954/American Legion Post 33 and the LVHS Lander Valley Singers. Wyoming Life Resource Center Facility Administrator Jeremy Forbis. h/t Vince Tropea photo Rev. Walt Seeley. h/t Vince Tropea photo VFW Post 954/American Legion Post 33 and the LVHS Lander Valley Singers. h/t Vince Tropea photo Wyoming Department of Health Director Executive and Work Group Chairman Stefan Johansson then took the stage to welcome the dignitaries invited to the event, which included: Governor Mark GordonWyoming Secretary of State Karl AllredWyoming State Treasurer Curt MeierWyoming State Auditor Kristi RacinesWyoming State Superintendent of Public Instruction Brian SchroederWyoming State Senate President Dan DockstaderWyoming House of Representatives Speaker Eric BarlowWyoming Representative and Healthcare Facilities Task Force Bob NicholasWyoming State Construction Department Director Jerry VincentWyoming Department of Family Services Director Korin SchmidtWyoming Department of Health Behavioral Health Division Senior Administrator Matt PerrySletten Construction Wyoming President Shawn WarnerHOK Architecture Michael ThomaMOCA, Owner's Representative Paul Ernst Johansson went on to thank the many people responsible for the project, including some of the above-mentioned dignitaries and project manager for the Wyoming Department of Health, Billy Holmes. Holmes was also recognized by the next speaker, the Governor himself, who called him "the hero of the project," and presented him with the Governnor's coin designed by Staff Sgt. Whitley of the Wyoming National Guard, which depicts the "principles of the code of the west." You can hear part of the Governor's speech including the presentation of the coin to Holmes below. After Rep. Larson concluded his speech, where he also acknowledged longtime project supporter Senator Cale Case, Johansson addressed the crowd once more, and the official ribbon cutting was then conducted. Assisting Governor Gordon in the cutting were 35 and 44 year WLRC employees Karen Good and Barb Ashby, as well as the Governor's trusty pocket knife when the ceremonial scissors couldn't get the cutting done. Governor Mark Gordon. h/t Vince Tropea photo Representative Lloyd Larson. h/t Vince Tropea photo Dept. of Health Director/Work Group Chairman Stefan Johansson. h/t Vince Tropea photo Governor Gordon and longtime Wyoming Life Resource Center employees Karen Good and Barb Ashby cut the ribbon at the construction completion ceremony. h/t Vince Tropea photo Governor Gordon improvised and used his pocket knife to cut the ribbon when the scissors wouldn't work. h/t Vince Tropea photo A few surprise announcements were also made during the ceremony,

This week we have a VERY special guest, Natasha Mc Coy who is a child sexual abuse survivor and living testimony. In this episode, VSC's Education and Prevention Training Coordinator, Hannah Jenarine, speaks with Natasha on how she was able to take back her power after a sexual assault. Natasha McCoy is a Licensed Occupational Therapist, providing service professionally in this capacity for the past eight (13) years. She earned both her Master of Science in Occupational Therapy and Bachelor of Science in Applied Psychology at New York University, preceded by her Associate in Arts with Honors at Borough of Manhattan Community College. Natasha has worked in settings such as Hospitals Acute Care and Inpatient Rehabilitation, Mental Health, Skilled Nursing Facilities, Pediatric Outpatient Clinic, School and Home Care, performing Home Evaluations, Community re-entry and Wheel-Chair assessments; Professional development of level one and level two students. Before beginning her career in Occupational therapy, Natasha was a Special Education Head-Start Pre-School teacher in New York City. Natasha returned to and resided in Trinidad for four years from 2013-2017, joining a small team of clinicians who provided therapy that was under-resourced on the twin islands. She was also an advocate for Autism Awareness, Cerebral Palsy Association and raising government support for people with disabilities. She also operated a Private Practice, The Occupational Therapy Sanctuary, located in St. Joseph Trinidad, where she evaluated and treated Adults and Pediatric clients presenting with various congenital and acquired cognitive and physical disabilities. She became a trained lecturer and Student advisor for the first Master's in Occupational Therapy Program on the island; being licensed both in Trinidad and Tobago and the United States. While residing in Trinidad as a healthcare professional, Natasha functioned as a: Member: Council of Professions Related to Medicine in Trinidad and Tobago. Member: Board of Speech Language Therapy and Occupational Therapy in Trinidad and Tobago Member: Association of Caribbean Occupational Therapist (ACOT) Member: Trinidad and Tobago Occupational Therapy Association (TTOTA) Achievements: Editor's Choice Award from The National Library of Poetry, 1997 Faculty Honors Award for Academic Performance (Dean's List), 1999 Faculty Honors Convocation Award for Academic Performance, 2003 She currently resides in Florida, working at The Orlando Hospital of Veterans' Affairs. ----------------------------------- Trigger Warning: In this podcast we will be discussing sensitive topics such as Sexual Assault. It's important to take care of yourself while listening. Some suggestions are listening while you're in a healthy headspace or knowing who you can reach out to if you become upset. Our 24/7 helpline for crisis calls based out of Central Florida is 407 500 HEAL, for the Florida state sexual helpline call (888) 956-7273. By contacting the National Hotline at 1-800-656-4673 you can get support and learn about your local resources. There is always someone ready to help.

If you're ever confused about a new rule at your facility, ask to see the policy. Not only will it clear up any misunderstandings or uninformed practices, but it also presents an opportunity for everyone to learn and grow in our field. This week on The Amplify OT Podcast, I am answering a listener question about whether or not Medicare puts a limit on the number of minutes of care that you can provide to a patient in a Skilled Nursing Facility or any other setting.  In this episode, I cover: When you should be cautious of “new” Medicare rules. How asking to see the policy can help clarify if the concern you're dealing with is a Medicare rule or a facility rule disguised under Medicare. My thoughts on why the facility we address in the listener's question may have said there is a limit on the number of minutes of care under Medicare. How you, as the practitioner, can be prepared to advocate for yourself and your patients. Thanks for listening! If you found this episode helpful, don't forget to follow, rate, and review the show. To learn more about Amplify OT, head to https://amplifyot.com/ Need CEUs? Save 40% off on your Medbridge subscription by using code “AmplifyOT” at checkout or by visiting https://www.medbridgeeducation.com/amplify-ot. Medbridge has great CEUs on Medicare Reimbursement. Are you ready to become your own best resource and learn what Medicare ACTUALLY pays for? Then check out Mastering OT Policy & Medicare. This comprehensive course covers everything you need to know about Medicare, billing, health insurance, and advocacy so you can trade "not knowing" for "informed and empowered"! Check it out at amplifyot.com/step/medicare-course Did you miss Amplify OT's Section GG training? Get access to the recording here: https://amplifyot.com/product/section-gg-webinar/ CONNECT WITH AMPLIFY OT: Website Work With Me Free Newsletter Instagram LinkedIn Facebook TikTok LINKS MENTIONED IN THIS EPISODE: Patient Driven Payment Model (PDPM) in Skilled Nursing Facilities  How Understanding PDPM in Skilled Nursing Facilities Can Make You a Better Clinician --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/amplifyot/message Support this podcast: https://anchor.fm/amplifyot/support

In this episode, we welcome special guest, Erin Romanski MA, CCC-SLP, to discuss switching SLP settings and working in skilled nursing. We discuss an SLP's day in the life of working at a skilled nursing facility, co-treating with PTs and OTs, tips for working in a skilled nursing facility as an SLP, and more!We Discuss(0:00) Introduction(2:15) Erin Romanski's Professional Background(4:30) Why Erin became interested in traveling(9:15) What areas was Erin must confident when starting as an SLP(13:20) Utilizing mentors(16:50) An SLP's Day in the Life Working at a Skilled Nursing Facility(20:15) Skilled Nursing Facility Patient Population(28:36) Co-treating with PTs and OTs.(30:30) Tips for Working in a Skilled Nursing Facility as a Speech Pathologist(39:32) Advice for Speech Pathologists Wanting to Work in a Skilled Nursing Facility (44:43) Lightning Question Round!(49:20) Do you fear getting older?About Erin Romanski MA, CCC-SLPErin grew up in Cleveland, Ohio—the only girl in a family with four children. She studied communication sciences and disorders as an undergrad at the University of Cincinnati and then earned an MA in speech-language pathology from Eastern Michigan University. Between undergrad and graduate school, Erin obtained her nursing assistant license working as an STNA during grad school, prior to getting a job as an SLP. Erin has spent her whole career in SNFs across four states, though she's lost count of the number of facilities. Since moving to Minnesota, she's found my inner country girl—picking up gardening, canning, and chopping wood. Erin also enjoys biking, camping, kayaking, and reading when she's not keeping her puppy out of trouble. Follow Erin on Instagram: https://www.instagram.com/irishila21/About the ShowProducer – Jonathan Cary Assistant Producers – Katie Schrauben & Sam MacKay Powered by Med Travelers 

FASTer Way client and rockstar, Cathy VanTash, shares her experience with intermittent fasting to lose weight, the difference between a weight loss program and a lifestyle change, and a word of encouragement for any woman ready to reclaim her health. IN THIS EPISODE YOU WILL LEARN: What motivated Cathy to sign up for the FASTer Way Program The strategy that was the hardest for Cathy to implement What surprised her about intermittent fasting A benefit from the program Cathy did not expect How many inches Cathy lost in 6 weeks Cathy's advice for other women considering a weight loss program RESOURCES/LINKS MENTIONED: Join Ahna's next round here https://www.fasterwaycoach.com/#Ahna_hammersnhugs ABOUT: CATHY VANTASH Cathy is a seasoned nurse leader with over 20 years of managerial experience in Skilled Nursing Facilities and rehab environments. She is currently a full-time case management nurse. CONNECT WITH: CHAS LinkedIn: Vantash Catherine: https://www.linkedin.com/in/vantash-catherine-b3956292/ CONNECT WITH US: Website: http://www.hammersnhugs.com YouTube: https://www.youtube.com/c/AhnaFulmerHammersNHugs Instagram: https://www.instagram.com/ahna_hammersnhugs/ Facebook: https://www.facebook.com/hammersnhugs

FASTer Way client and rockstar, Cathy VanTash, shares her experience with intermittent fasting to lose weight, the difference between a weight loss program and a lifestyle change, and a word of encouragement for any woman ready to reclaim her health.YOUTUBE LINK:https://youtu.be/z9GcVGoQLeQIN THIS EPISODE YOU WILL LEARN:What motivated Cathy to sign up for the FASTer Way ProgramThe strategy that was the hardest for Cathy to implementWhat surprised her about intermittent fastingA benefit from the program Cathy did not expectHow many inches Cathy lost in 6 weeksCathy's advice for other women considering a weight loss programRESOURCES/LINKS MENTIONED:Join Ahna's next round here https://www.fasterwaycoach.com/#Ahna_hammersnhugsABOUT: CATHY VANTASHCathy is a seasoned nurse leader with over 20 years of managerial experience in Skilled Nursing Facilities and rehab environments. She is currently a full-time case management nurse.CONNECT WITH: CATHYLinkedIn: Vantash Catherine: https://www.linkedin.com/in/vantash-catherine-b3956292/The Kingdom Investor | PodcastTake your generosity to the next level, impact more lives and build a godly legacy! Listen on: Apple Podcasts Spotify Healthy Lifestyle Solutions with Maya AcostaAre you ready to upgrade your health to a new level and do so by learning from experts...Listen on: Apple Podcasts Spotify