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Telemedicine in Skilled Nursing Facilities

Movement disorders, impaired mobility, and memory loss frequently require the services of a specialist. Traveling can be difficult for patients in skilled nursing facilities. Having direct access to a specialist from the skilled nursing facility or another easily accessible site is preferred.

This year, in a Wall Street Journal, an article discussed how hospitals are using interactive video to give patients better access to medical care. Skilled nursing facilities are an ideal environment to provide patient-centered care with a high standard for quality.

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Home Healthcare – At Risk for Fraud and Theft

Home Healthcare Risk Management Insurance

When it comes to home healthcare, fraud and theft are major areas of concern. Every effort must be made to prevent fraud and theft, as occurrences not only affect the well-being of patients, but can also harm a client’s reputation.

Health care fraud occurs when false information is represented as truth. Perpetrators exploit patients by entering into their medical records false diagnoses of medical conditions they do not have, or of more severe conditions than they actually do have. Then bogus insurance claims can be submitted for payment.

Home healthcare fraud claims also involve intentional incorrect billing of Medicare. According to the Senior Medicare Patrol (SMP), “An estimated $250 million is lost to purposeful health care fraud each year.” Examples of fraud that may occur include:

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Medicare Requirements for Skilled Nursing Facilities

Skilled Nursing Facilities Insurance

In order to provide the best service to your clients, it is necessary to know Medicare Requirements for skilled nursing facilities. The nursing home reform law, the Omnibus Reconciliation Act of 1987 (OBRA '87), and Advancing Excellence in America's Nursing Homes (a campaign launched by a coalition of consumers, health care providers, and nursing home professionals), as well as other campaigns serve as the foundation for the Medicare Five-Star Quality Rating System.

In order to assess the rating of a skilled nursing facility, three sources of data are used:

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Understanding What Goes Into Insurance Rates for Your Elder Care Facility

Commercial Insurance Elder Care Facility

As an agent, your clients may be asking about their insurance rates: “Why did my insurance premium go up? , or “Since I have never had a loss, why didn’t my insurance rates go down this year?” Insurance rates, for the most part, have gone up anywhere from 6% to 15%. There are a number of reasons for this increase.

A “Hard” Market

After about five to six years of a “soft” market, we are starting to see the market turn “hard”. Mortgage rates and government bond rates have hardly ever been as low as they have been for the past few years. Previously, when government rates were in the five to seven percent range, insurance companies were able to offset the claims they were paying out by parking a percentage of their premiums in these bonds, which in turn, helped keep rates low. Now, with government bonds yielding barely one percent, insurance companies no longer has that cushion to help with insurance claims.

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Elopement in Elder Care Facilities

Elder Elopement

In addition to providing information to our agents, we seek information our agents can use when serving the needs of their clients. With that in mind, this article will look at elopement in elder care facilities – who is most likely to do it, and what can be done to prevent it.

One of the primary risks for seniors residing in elder care facilities is their ability to put themselves in harm’s way by leaving the facility unaccompanied and unobserved. Referred to as elopement, this risk primarily affects those with dementia, who may be looking for someone or something familiar. What can an elder care facility do to prevent elopement of its residents?

Understand the Reasons

It is important to understand why a person wanders, so the facility can take appropriate steps for prevention. Many elderly individuals with cognitive issues may wander for reasons, which, on the surface, may not be clear. They may be trying to meet an elemental need such as using the bathroom or getting a drink of water. They may be reacting to something they do not like in the facility’s environment. Or, there may be medical conditions behind their wandering.

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