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The Link:  Practical Insight for Long-Term Care & Senior Living Providers

Your multidisciplinary hub for long-term care and senior living resources

The health care environment is increasingly complex. BKD’s professionals are ready to help you navigate your industry with confidence. Our knowledgeable advisors include CPAs, former administrators and directors of nursing, nurses and billing and revenue cycle specialists. This diverse group has created The Link so your team can connect with best practices forged from our expertise.

Auditing Construction Capital Projects 101


Presenters:  Adam Rouse – Wednesday, May 2, 2018


This complimentary webinar focuses on the steps involved with auditing capital projects and protecting your financial interests. After the construction contract is negotiated and signed, owners may feel protected. However, this isn’t usually the case. Learn the pitfalls of contracts and the benefits of hiring a construction audit professional. Read More

Access to Regulatory Updates Directly from Capitol Hill


April 2018


BKD National Health Care Group recognizes the importance of remaining at the forefront of new and evolving regulations. By staying informed of proposed regulations, we can help our clients confidently deal with the rapid pace of change in health care. Read More

Annual Tax Update & 2018 Form 990 Changes


Presenters:  Mike Engle & Rebekuh Eley – Thursday, March 22, 2018


Join BKD for a closer look at 2018 tax law changes, including Form 990 updates. Topics will include recent tax developments and how those could affect not-for-profit organizations, including health care providers, higher education institutions, associations, foundations and social service organizations. Read More

Is Your CCRC Ready for the New Revenue Recognition Standard?


John Harned - February 2018


As your Life Plan Community (CCRC) begins to evaluate the effect of the revenue recognition standard, Accounting Standards Update 2014-09, Revenue from Contracts with Customers (Topic 606), it would help to visualize peeling back an onion’s layers. Read More

Strategies for Success in Senior Living in 2018


John Harned - February 2018


The new year brings new opportunities and challenges to the senior living industry. With all the changes in process, it’s a good time to revisit your strategy and evaluate what decisions can make you successful in 2018. Read More

Tax Policy & Charitable Giving


Presenters:  Joyce Dulworth & Dr. Una Osili, Lilly Family School of Philanthropy at Indiana University – Thursday, October 5, 2017


Join BKD for a CPE-eligible webinar to gain insight into charitable giving, donor behavior and the effects of proposed legislation on not-for-profits. Read More

Who’s Reviewing Your Form 990?


John Harned - October 2017


Health care is highly regulated and leaders responsible for not-for-profit governance have a multitude of areas clamoring for their attention. However, there’s one form far more critical and visible than many organizations realize—Form 990. Read More

Fine Tuning:  Collecting Your Credits: Are You Missing Out?


Michael Ormsby - August 2017


If you’re a long-term care facility (LTC) owner and not taking advantage of the Work Opportunity Tax Credit (WOTC) program, you could be leaving money on the table. The WOTC program offers employers a tax credit for hiring employees that meet certain criteria. Read More

Annual Tax Update & Form 990 Changes


Presenters:  Aaron Hershberger – Tuesday, May 2, 2017


With ever-evolving tax law changes and recent Form 990 updates, is your organization prepared? Join BKD tax advisors for valuable information on a number of topics, including recent tax developments and how they can affect not-for-profit organizations, health care providers and colleges and universities. Read More

Fine Tuning: Developing a Robust Financial Statement Review Process


Juli Pascoe - May 2017


In observing successful senior living organizations nationwide, we’ve noticed many common threads in how they run their businesses. Read More

Fine Tuning:  How to Decode Accounts Receivable Aging


Jessica Cullen - January 2017


In the long-term care industry, it’s imperative organizations constantly monitor the accounts receivable aging (the aging) and follow up on past due accounts. If the aging isn’t appropriately reviewed and analyzed, accounts can become uncollectible, which strains the organization’s cash flows and ability to fund daily operations. Read More

Implementing Revenue Recognition at Health Care Organizations


Kimberly McKay & Brian Pavona - August 2018


Health care organizations face complex challenges in applying the new revenue recognition standard due to the nature of the principles-based standard as well as the nature of patient service revenue and related reimbursement adjustments and settlements. Read More

CMS Issued Corrections to August Final Rule


Chris Murphy - October 2017


On September 30, the Centers for Medicare & Medicaid Services (CMS) placed the fiscal year 2018 skilled nursing facility (SNF) prospective payment system (PPS) Final Rule correction notice on public display at the Office of the Federal Register. Read More

Prepare for 2018 SNF Part B Payment Changes


Julie Bilyeu - December 2017


Skilled nursing facility (SNF) providers are starting the new year with a slight increase in Part B therapy, paid under the physicians’ fee schedule. New rates are effective for service dates beginning January 1, 2018, through year-end. Read More

Fine Tuning:  Clearing the SNF Consolidated Billing Fog


Cyndi Major - November 2017


Skilled nursing facility (SNF) consolidated billing essentially places the Medicare billing responsibility for the entire package of services SNF residents receive during a covered Part A stay on the SNF itself. Read More

Waivers for SNFs Affected by Hurricanes


Julie Bilyeu - September 2017


As hurricanes continue affecting parts of our nation, skilled nursing facilities (SNF) should be aware of certain waivers that may help them sustain important skilled care for their residents. Waivers granted under section 1135 of the Social Security Act temporarily waive or modify certain Medicare and Medicaid requirements for providers. Read More

Changes to 2017 Part B Rates & New System Edits


Julie Bilyeu - April 2017


The Centers for Medicare & Medicaid Services (CMS) has made changes to the relative value files affecting 2017 Medicare Part B fee schedules. Read More

Fine Tuning:  SNF ICD-10 Diagnosis Coding Perils


Leslie Finnerty - March 2017


Despite the International Statistical Classification of Diseases 10th revision (ICD-10) diagnosis coding’s October 2015 implementation, some skilled nursing facility (SNF) providers struggle with capturing accurate information to reflect post-acute care. Diagnosis coding comes with perils but is key to reflecting the care needed to support services billed. Read More

Your Strategy Fulfills Your Mission


John Harned & David Rodarte - July 2018

Fulfilling your long-term care and senior living organization’s mission isn’t always easy when you’re faced with ever-changing rules and regulations. The proven methodology of strategic planning provides you with tools and knowledge to help as you plan for success. Read More

Responsible Transparency: How Health Systems Deal with Bad Behavior


Bryan Callahan, David Jarrard & Bob Horton - June 2018

From Hollywood to health care, demand for transparency is spreading across the nation and shining a light on dark corners and sensitive subjects. In the workplace, employees expect the ability to voice their concerns and are turning to tools such as hotlines to report incidents of fraud, abuse and sexual harassment. Read More

EU GDPR Deadline Approaching


Jan Hertzberg - May 2018

Does your hospital need to comply with the European Union (EU) General Data Protection Regulation (GDPR)? If you have ever collected information about a patient, volunteer or employee from the EU, the answer could be yes. Read More

Five Steps to Prepare for the New Medicare Cards


Monique Mckneely - May 2018

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required the Centers for Medicare & Medicaid Services (CMS) to remove Social Security Numbers (SSN) from all Medicare cards by April 1, 2019. The new Medicare Beneficiary Identifier (MBI) replaced the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards. Read More

SNF QRP Deadline Approaching


Suzy Harvey - March 2018

The Centers for Medicare & Medicaid Services has extended the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) submission deadlines for calendar year (CY) 2017. Minimum Data Set (MDS) assessment data for January to
December (first to fourth quarter) of CY 2017 are due May 15, 2018. Read More

Time’s Running Out for SNF VBP Corrections


Chris Murphy - March 2018

Beginning October 1, 2018, the Centers for Medicare & Medicaid Services (CMS) will implement payment adjustments to skilled nursing facilities (SNF) under its SNF Value-Based Purchasing (VBP) Program. Read More

Strategies for Success in Senior Living in 2018


John Harned - February 2018


The new year brings new opportunities and challenges to the senior living industry. With all the changes in process, it’s a good time to revisit your strategy and evaluate what decisions can make you successful in 2018. Read More

Fine Tuning:  Scheduling for SNF Success


Sherri Robbins - January 2018


Staff scheduling for skilled nursing facilities (SNF) is more of an art than a science. How should providers staff their buildings? There are numerous scenarios that arise when attempting this task: Set schedules, weekday and weekend staffing and creating a schedule every month based on employee-requested days off are just a few examples of the many options available to providers. Read More

Refresh Your Understanding of the SNF QRP


Presenters:  Deborah Lake & Justin Thompson – Wednesday, September 13, 2017


The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) requires continued specification of quality measures for the skilled nursing facility Quality Reporting Program (QRP). Read More

Stay Compliant with an Up-to-Date Facility Assessment


Sherri Robbins - September 2017


All skilled nursing facilities (SNF) are required to complete a detailed written facility assessment by November 28, 2017, according to the Centers for Medicare & Medicaid Services (CMS) Reform of Requirements for Long-Term Care Facilities Final Rule released October 4, 2016. Read More

Don’t Miss the Revised ABN for Part B SNF Services


Sherri Robbins - August 2017


The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is issued by providers (including laboratories, home health agencies and hospices), physicians, practitioners and suppliers to traditional Medicare (fee for service) beneficiaries in situations where Medicare payment is expected to be denied. Read More

FY 2018 SNF-QRP Data Submission


Carol Smith - July 2017


The Centers for Medicare & Medicaid Services (CMS) recently sent noncompliance notifications to skilled nursing facilities (SNF) concerning Quality Reporting Program (QRP) requirements. These requirements will affect SNF providers starting October 1, 2017, for fiscal year (FY) 2018 Annual Payment Update (APU). Read More

New LTC Survey Process & Phase 2 Implementation


Camish Jones - July 2017


The Centers for Medicare & Medicaid Services released revised interpretive guidance in a June 30, 2017, survey and certification memo regarding the Phase 2 implementation of the revised Medicare and Medicaid requirements for participation for long-term care (LTC) facilities and a new computer-based LTC survey process implementation. Read More

CMS Extends SNF QRP Submission Deadline


Suzy Harvey - May 2017


On May 12, 2017, the Centers for Medicare & Medicaid Services (CMS) announced that “due to extenuating circumstances,” the reporting deadline for the fiscal year (FY) 2018 Skilled Nursing Facility Quality Reporting Program (SNF QRP) payment determination has been extended from May 15, 2017, to June 1, 2017. Read More

Quality Measures:  Are Your Stars Aligned?


Presenters:  Sherri Robbins & Suzy Harvey – Thursday, March 16, 2017


This complimentary webinar will provide attendees with an overview of quality measures—and the growing importance placed on these metrics. Read More

Fine Tuning:  Medicare Certification Process – Setting the Stage for Success


Suzy Harvey - March 2017


According to a 2015 Comprehensive Error Rate Testing report recently released by the Centers for Medicare & Medicaid Services (CMS), the denial rate for skilled nursing facilities (SNFs) increased from 6.9 percent to 11 percent due to missing or incomplete certification/recertification. Read More

Meeting New Requirements for Care Providers


Carol Smith - March 2017


The Centers for Medicare & Medicaid Services unveiled regulations a few months before the first official survey due date of November 28, 2016. A main focus of the mandates is for facilities to offer person-centered care with more emphasis on a facility’s Quality Assurance and Performance Improvement program. Read More

Second PBJ Submission Date Fast Approaching


Suzy Harvey - February 2017


February 14, 2017, is the second Payroll-Based Journal (PBJ) submission’s final date for all long-term care (LTC) facilities. The Centers for Medicare & Medicaid Services (CMS) began requiring quarterly staffing and census data to be submitted as of July 1, 2016. Read More

New Year, New Plan, New Future for Your Life Plan Community


Presenters:  Brian Todd, Kimberly McKay, John Harned, Bradley Paulis, Continuing Care Actuaries – Thursday, January 11, 2018


Start the new year off right with a Life Plan Community (CCRC) update from BKD’s long-term care and senior living team, along with guest presenter Continuing Care Actuaries. Read More

Tax Policy & Charitable Giving


Presenters:  Joyce Dulworth & Dr. Una Osili, Lilly Family School of Philanthropy at Indiana University – Thursday, October 5, 2017


Join BKD for a CPE-eligible webinar to gain insight into charitable giving, donor behavior and the effects of proposed legislation on not-for-profits. Read More

Combat Slowing Sales in Your Life Plan Community


John Harned - October 2017


How are you monitoring market conditions and indicators that can forecast your community’s ability to sell vacant apartments and cottages? Read More

How Old Is Your Community?


John Harned - October 2017


When did you last calculate the average age of plant for your organization? It’s a ratio that needs to be calculated at least once a year when preparing your organization’s budget. Read More

What Investments Are Agile Communities Making?


John Harned - October 2017


In an industry set for historic growth, Life Plan Communities (CCRC) that want to remain relevant for generations are charting a course to not only serve their current residents, but also a younger population. Read More

Cyber Risk: What Not-for-Profit Management & Boards Need to Know


Presenters:  Jan Hertzberg & John Dougherty, Unbound – Wednesday, September 20, 2017


Managing cyber risk has become a key challenge for not-for-profit (NFP) management. The nearly constant stream of data breaches, hacks and cyber-espionage has created enormous challenges for organizations. Read More

Preliminary Testing Audits of PBJ Data


Jessica Cullen - June 2017


The Centers for Medicare & Medicaid Services (CMS) has begun a pilot testing program to audit Payroll-Based Journal (PBJ) data. Granite Dolphin and Myers and Stauffer audit teams are focused on examining payroll records and other auditable data to identify if staffing is accurately reported based on paid hours. Read More

Protecting Your Organization from Ransomware Attacks


Jan Hertzberg - May 2017


Ransomware is a form of malware that targets your critical data and systems for the purpose of extortion. Read More

PBJ Data Submission Can Affect Star Rating


Suzy Harvey - April 2017


The Centers for Medicare & Medicaid Services (CMS) stated approximately 91 percent of long-term care (LTC) providers submitted Payroll-Based Journal (PBJ) staffing data by the February 14, 2017, deadline. Read More

CMS Shifts to “Choose Your Own Risk” for Bundles


Steve Smith - August 2017


On August 15, 2017, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule to cancel three mandatory bundled payment programs with scheduled effective dates of January 1, 2018, as well as change the Comprehensive Care for Joint Replacement (CJR) model, which has been in place since April 2016. Read More

Five Steps to Prepare for the New Medicare Cards


Monique Mckneely - May 2018

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) required the Centers for Medicare & Medicaid Services (CMS) to remove Social Security Numbers (SSN) from all Medicare cards by April 1, 2019. The new Medicare Beneficiary Identifier (MBI) replaced the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards. Read More

SNF VBP Updates Included in New Proposed Rule


Bob Lane - May 2018


The skilled nursing facility (SNF) Value-Based Purchasing (VBP) program will begin to affect payments starting October 1, 2018, when all SNFs participating in Medicare will have a value-based incentive payment adjustment applied to claims filed in fiscal year (FY) 2019. Read More

Proposed Final Rule Introduces New SNF Payment Model


Suzy Harvey - May 2018


On April 27, 2018, the Centers for Medicare & Medicaid Services (CMS) released a skilled nursing facility (SNF) proposed rule. The proposed rule informed providers of the 2.4 percent market basket payment update, the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing Program. Read More

CMS Proposes SNF QRP Changes Under New PDPM


Carol Smith - May 2018


On April 27, rather than announcing the start of the Resident Classification System, Version 1 payment model, the Centers for Medicare & Medicaid Services (CMS) announced a new model called the Patient-Driven Payment Model (PDPM). Read More

Back to Basics:  Medicare SNF Cost Report Submission


Angie Yarbrough - March 2018

Skilled nursing facilities (SNF) that provide services to beneficiaries participating in the Medicare program are required to file an annual Medicare cost report. Read More

Fine Tuning:  Starting on the Right Road to Reimbursement


Jenn Lender - September 2017


Efficiently collecting monies for services rendered starts prior to admission. A skilled nursing facility (SNF) should have a defined admission process, which can be supplemented with an admission checklist tool. Read More

Fine Tuning:  What’s the PS&R Report & How Can It Help Me?


Rikki Holmes - July 2017


The Provider Statistical and Reimbursement (PS&R) System report provides key payment and statistical data for skilled nursing facilities applicable to processed and finalized Medicare Part A and Part B claims. Read More

Don’t Forget Medicare Part A Coinsurance Bad Debt Reimbursement


Rikki Holmes - December 2016


As the calendar year winds down, don’t let the hectic holiday season distract you from properly writing off Medicare Part A coinsurance and/or deductible bad debt that can be claimed on the Medicare cost report for partial reimbursement. Read More


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