A How-To Networking Guide For Niche Industry Professionals Via Forbes

Understanding the needs of your client base and earning their trust is critical, and working in a niche industry can present unique challenges. When done appropriately, networking can play a key role in addressing each of these goals. Read more

Facebooktwittergoogle_plusredditpinterestlinkedinmail

Aging Parents With Lots of Stuff, and Children Who Don’t Want It

As baby boomers grow older, the volume of unwanted keepsakes and family heirlooms is poised to grow–along with the number of delicate conversations about what to do with them. Read more

Facebooktwittergoogle_plusredditpinterestlinkedinmail

Nonprofit unveils plans for LGBT – friendly senior housing

Plans for LGBT-friendly senior housing unveiled

The LGBT Network on Thursday unveiled plans for a 75-unit affordable housing apartment complex in Bay Shore for senior citizens identifying as lesbian, gay, bisexual or transgender, as well as seniors who are LGBT-friendly. The development is planned for downtown Bay Shore, next to the LGBT Network’s existing community center on Park Avenue and Mechanicsville Road and near the Bay Shore Long Island Rail Road station.

Facebooktwittergoogle_plusredditpinterestlinkedinmail

NYS Medicaid bed hold reimbursement changes

There have been changes to Medicaid bed hold reimbursement as part of the new NYS budget approved in April. This clarifies the current situation. http://update.nyshfa.org/en/1611953/1/6226/Alert-2017-18-Budget-has-Changed-the-SNF-Bed-Hold-Rules.htm

Alert: 2017-18 Budget has Changed the SNF Bed-Hold Rules

Carl J. Pucci and Nancy Leveille and Lisa Volk in Clinical & Quality

Effective April 1, 2017, the New York State budget has eliminated the 50% Medicaid payment for bed-hold for residents’ stay in hospitals. Therefore, DOH will no longer reimburse bed-hold days for facilities with a 95% or greater census upon such hospitalization a maximum of 14 days in a calendar year. The DOH will maintain the 2012 enacted bed-hold rate cut necessary to achieve $18M in annual savings (line 14 of the Medicaid rate sheets).  This change does not affect Therapeutic leaves and therefore facilities must continue to follow those rules for implementation. As such, Therapeutic leaves of absence (paid at 95% of Medicaid rate) remain intact, not to exceed 10 days per 12-month period.

With this change, facilities will no longer be required to hold the resident’s specific bed, but must offer the first available, appropriate bed.

With the 14-day paid bed-hold eliminated, skilled nursing facilities must continue to follow both New York State (415.3 resident rights) https://regs.health.ny.gov/content/section-4153-residents-rights and Federal requirements (483.15 (d).  CMS has updated this section based on the new requirements of participation.  https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R168SOMA.pdf  Scroll down to page 63-64 to locate the specific bed-hold information.

NYSHFA recommends that each SNF take the following actions to enact this change to bed-hold:

  1. Update your facility policy for bed-hold specific to NYS code 415.3 and CMS code 483.15(d).
  2. Notify all current residents or their representative of this change in policy due to the 2017/2018 NYS Executive Budget.
  3. Update your notice to new admissions instructing them on the current policy for bed-hold.
  4. Update the facility’s bed-hold letter templates to reflect these changes.
  5. Note that the hospital is still not a discharge location, therefore the SNF is still required to transfer these residents back to the SNF upon discharge from the hospital.
  6. Review the sections of code related to holding the residents’ original bed or offering them the next available bed.
  7. Utilize the NYS regulations 415.3 and CMS 483.15 (e)(1) permitting residents to return to facility codes as your reference for policy and letter changes. This section specifies what the residents and SNF rights are related to when a resident transfers to the hospital and when a resident returns to the facility.

 

Facebooktwittergoogle_plusredditpinterestlinkedinmail

How a near fatal accident uncovered a broken home care system

Ron Gold Speaking at TEDx NJIT

When a head-on bicycling crash with an SUV crushed my spine and left me a paraplegic in 2011, I found very little inspiration from my very broken body. That is, until I realized how my broken body could be the impetus to help fix America’s broken home care system.

Facebooktwittergoogle_plusredditpinterestlinkedinmail