PPS and other recent federal regulatory developments: A paradigm change needed in the roles of physician and medical director

Annals of Long-Term Care

Volumn 6, Issue 12, 1998, Pages

  Dimant, Jacob ^a,b,c  

^a Augustana Lutheran Home   (United States)

^b LUTHERAN MEDICAL CENTER   (United States)

^c Crown Nursing and Rehabilitation Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 54649083198     PISSN: 15247929     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (24)

1. Facts and Trends: The Assisted Living Sourcebook. Washington, DC: National Center for Assisted Living; 1997.
2. Dept of Health and Human Services. Health Care Financing Administration. Medicare and Medicaid programs: Revisions of the conditions of participation for home health agencies and use of the Outcome and Assessment Information Set (OASIS). Federal Register 62:11004-11064. March 10, 1997.
3. Mergers and acquisitions up in the long term care sector. Provider 1998;24(10):14.
4. Long-term care pharmacy: A new image emerges. McKnight's Long-Term Care News 1996;65-68.
5. Dept of Health and Human Services. Health Care Financing Administration. Medicare program: Prospective payment system and consolidated billing for skilled nursing facilities. Federal Register 63:26252-26316. May 12, 1998.
6. Dept of Health and Human Services. Health Care Financing Administration. Transmittal A98-16. May 1998.
7. SNF reimbursement changes to impact patient care. AMDA Reports. Columbia, MD: American Medical Directors Association; June 1998. Special Bulletin.
8. Minimum Data Set-Post Acute Care (MDS-PAC). Boston, MA: Hebrew Rehabilitation Center Research and Training Institute. September 1998. Draft 7.
9. Schwartz M, Iezzone L I, Moskowitz MA, et al. The importance of comorbidities in explaining differences in patient costs. Med Care 1996;34:767-782.
10. Resident Assessment Instrument: User Guide. MDS Version 2.0. Albertville, AL: Heaton Publications; 1998.
11. Dept of Health and Human Services. Health Care Financing Administration. Federal Register 63:89. May 8, 1998.
12. Gibbs Brown J, Inspector General. Work Plan: HCFA Projects, Fiscal Year 1998. Washington, DC: Dept of Health and Human Services, Office of the Inspector General; 1997.
13. Dimant J. AMDA Viewpoint: The role of the medical director in assuring medical necessity of services in long-term care. Annals of Long-Term Care 1998; 6(12):15A.
14. Gibbs Brown J, Inspector General. Prescription Drug Use in Nursing Homes. Reports 1,2, and 3. Washington DC: Dept of Health and Human Services, Office of the Inspector General; November 1997.
15. Gibbs Brown J, Inspector General. Part B Services in Nursing Homes: An Overview. Washington, DC: Dept of Health and Human Services, Office of the Inspector General; March 1996.
16. Fraser MR. Nursing home civil litigation. Nursing Home Medicine 1995;3:79-82.
17. Annas GJ. Medicine, death and the criminal law. New Engl J Med 1995; 333:527-530.
18. Infante MC. U.S. forges link between poor care and fraud. Contemporary Long-Term Care March 1997:30-37.
19. Katz PR. Litigation and the nursing home practitioner. Nursing Home Medicine 1993;1:37-39.
20. Allen JE. Imputing vicarious criminal liability to the medical director. Nursing Home Economics 1996;3:5-12.
21. Fraser M. AHCA restricts license of former medical director. FMDA Progress Report. Tampa, FL: Florida Medical Directors Association; September 1998;5(9):1-4.
22. Wachler AB, Avery PA. Stark II Proposed Regulations. The Health Lawyer, Special Edition. Chicago, IL: American Bar Association, Health Law Section. Jan 1998;1-16.
23. Parver CP, Hildebrandt S. How to prevent Medicare fraud and abuse involving equipment and supplies in nursing homes. Nursing Home Medicine 1996;4:68-71.
24. McCarthy JF, Banaszak-Holl JC, Fries BE. Medical director involvement in nursing homes, 1992-1996. Annals of Long-Term Care. In press.