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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.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Administrative Law Judge Request Form Changes


Suzy Harvey - April 2017


Effective January 1, 2017, Medicare replaced form, “Request for Medicare Hearing by an Administrative Law Judge - CMS-20034 A/B,” with, “Request for an Administrative Law Judge (ALJ) Hearing or Review of Dismissal - OMHA-100.” 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

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

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

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

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

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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

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

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

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

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

Long-Term Care Services


BKD National Health Care Group serves approximately 1,600 long-term care and senior living providers nationwide, including skilled nursing facilities and approximately 50 continuing care retirement communities, some of which are the largest in the country. Our approximately 500 dedicated health care professionals have the expertise and commitment to help your organization improve performance and enhance the value of the professional services you receive.

BKD National Health Care Group provides services related to:

  • Audit Services – Our auditors can advise you on how your financial statements comply with accounting rules and help you strengthen internal controls, address management concerns and improve operating efficiencies.
  • Cost Report & Reimbursement Services – BKD National Health Care Group prepares approximately 3,000 Medicare and Medicaid cost reports annually, including more than 1,600 skilled nursing and long-term care facility reports, making us one of the largest providers in the country.
  • Billing Services – BKD Health Care Billing Services, a special division of BKD National Health Care Group, helps clients manage more than $60 million in revenues for health care providers. Our solutions include outsourcing, accounts receivable recovery, operations assessments, compliance assessments and training.
  • Clinical & Operational Consulting – We offer operational assessments, Medicare PPS assessments and Medicare management training services, corporate integrity services, organizational supervisory training and staffing analysis, strategic planning and other services to help your organization.
  • Taxation – Exempt and for-profit health care organizations alike often face unique and complex tax questions. BKD National Health Care Group provides a variety of services to help your organization make sense of dynamic tax laws.

Learn more


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Meet Us


2017 AHCA/NCAL 68th Annual Convention & Expo
Las Vegas, NV
October 15–18, 2017
Don’t miss the session “Operationalizing Quality Using Baldrige as a Business Management System,” October 16, 2017, 3–4:30 p.m. Presenters are BKD Director Bob Lane, Stacey Merritt Hord and Lori Cooper. To learn more about the event, click here. To schedule a time to meet our team at the conference, contact Amy Knightley at 417.831.7283 or aknightley@bkd.com.


LeadingAge Annual Meeting & EXPO
New Orleans, LA
October 29–November 1, 2017
Don’t miss our sessions “Packaging Post-Acute Services to Improve Outcomes” presented by Partner Chris Murphy, Senior Managing Consultant Karen Vance and Senior Managing Consultant Sherri Robbins, Monday, October 30, 3:30–5 p.m and “Building a Successful Home Care Operation” presented by Partner Mark Sharp with Rhonda Dornbos, Tuesday, October 31, 10–11:30 a.m. Learn more about the event here. To schedule a time to meet our team, contact Callie Rainey at 417.831.7283 or crainey@bkd.com.

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