Most long-term care facilities would probably like to forget about last week. That’s because two figurative bombshells exploded.
CMS lowers pay hike for skilled nursing facilities to 1.2%
By
James M. Berklan
Jul 31, 2015
Medicare skilled nursing facilities would get a net 1.2% pay increase — totaling $430 million — in fiscal 2016 under a final rule issued by the Centers for Medicare & Medicaid Services late Thursday.
Ask The Payment Expert
By
Patricia Boyer
Jan 15, 2008
If we have a resident with a medical RUGs and therapy wants to pick up that resident, do we have to complete an OMRA assessment?
Is the doctor in? Improve nursing homes with one easy stroke
By
Kenneth Lehmann
Apr 14, 2021
Many nursing home COVID-19 patients would have benefitted from daily, reimbursed-for physician visits in their skilled nursing facilities, but they were not entitled to them. With an epic crisis...
Mandated minimum staffing would cost nursing homes $10 billion annually
By
Danielle Brown
Jul 20, 2022
Providers would have to spend an additional $10 billion more per year and hire more than 187,000 new workers to meet requirements of one possible federal minimum staffing approach, according to a new analysis.
Ask the payment expert
By
Patricia Boyer
Sep 01, 2007
What should our facility do to minimize our risk of medical review?
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...