Why providers aren’t elated about new pay-for-quality goals
By
James M. Berklan
Jan 28, 2015
You can forgive long-term care providers if they weren’t outwardly jumping for joy at Monday’s announcement that Medicare is going to start paying for quality, and not quantity, of services.
BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification...
By
Kimberly Marselas
Apr 27, 2018
In a flurry of activity late Friday, the Centers for Medicare & Medicaid Services announced an $850 million pay raise for skilled nursing facilities for fiscal 2019 that comes along with major simplifications...
Your money’s no good here
By
James M. Berklan
Mar 01, 2017
I’d say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.
Medical necessity — slippery for some
By
Shelly Mesure, MS, OTR/L
Dec 02, 2011
Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
Salaries increase for DONs, administrators
By
James M. Berklan
Sep 01, 2007
Good nursing leaders are a hot commodity – at least if the most recently compiled salary findings are to be believed.
Providers set to receive $9 billion in long-awaited Provider Relief payments, but more help is critical
By
Danielle Brown
Dec 15, 2021
The Department of Health and Human Services is finally releasing a portion of the additional $25.5 billion in COVID-19 Provider Relief Fund Phase 4 payments to healthcare providers, the agency announced...
A warning if you accepted Provider Relief Funds: Prepare to be audited
By
Kimberly Marselas
Jan 20, 2022
Skilled nursing providers who accepted Provider Relief Funds should prepare for widespread audits by later this year.
The Hiker’s Guide to the Long-term Care Galaxy
By
Gary Tetz
Jul 27, 2017
Much of what I know about success (or failure) in life, love and long-term care has been reinforced by lessons learned over years of hiking. As a result, I now take it as a point of professional pride...
Experts propose new Medicare payment model that emphasizes collaboration between nursing homes, hospitals
By
Danielle Brown
Nov 19, 2021
Post-acute care facilities could benefit from a new, comprehensive care payment model that would reimburse providers through collaborations with hospitals that aim to improve care and outcomes for residents,...