A common complaint I hear revolves around the medical director and his or her unwillingness to perform the most basic duties of their role or that they are standing in the way of a facility’s progress. I’ve seen medical directors who wouldn’t come to see their patients regularly.  I’ve seen them fail to keep their progress notes up.  I’ve seen medical directors dictate what home health  or hospice company...

Typically, a new administrator will be basically thrown into their position without a ton of training.  Then, you get the pleasure of being grilled on every aspect of your facility’s performance by your regional, district, or corporate team usually on a monthly basis on an operations review conference call.  What we’d like to accomplish here is to give you some pointers on how to be prepared for your monthly ops review call...

One of the mistakes that many of us make when our facility is census-challenged is to begin taking and admitting whatever referrals we can get.  This can create tons of problems in your facility.  Obviously, a good rule of thumb is to ensure that clinically you can take of the patient, that financially they have a payor source, and you’re not going to lose money on them.  However, there are other factors to consider.  Namely, is...