COVID-19 dealt a devastating blow to nursing homes — don’t let looming cuts make it worse
By
Cynthia Morton
Jul 12, 2021
In late June, the U.S. Department of Health and Human Services Office of Inspector General released a report stating that approximately 42% of Medicare beneficiaries in nursing homes were diagnosed with...
Guess what’s coming to nursing homes next
By
Kimberly Marselas
Apr 03, 2024
I remember when the Patient Driven Payment Model rule was just a proposal inching its way toward finalization, its concept of assigning points for specific non-therapy ancillary costs a pretty exciting...
Ready, set, review!
By
Renee Kinder
May 11, 2023
We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review, of course! Since the initiation...
Final pay rule and rates: A primer for rehab professionals
By
Renee Kinder
Sep 01, 2022
The October 2019 industry shift to the Patient Driven Payment Model allowed all rehabilitation professionals the opportunity to document specific clinical characteristics about the patients we serve and...
Azar toes company line, which isn’t half bad
By
James M. Berklan
Jun 06, 2018
When the Secretary of the Department of Health and Human Services addressed a gathering of nursing home owners and operators Tuesday in Washington, it might not have been the HHS Secretary everyone had...
SNF Industry: It’s time for a PDPM ‘Come-to-Jesus’
By
Renee Kinder
Oct 11, 2018
I have, unfortunately, heard some off-track conversations about the “goals” and “outcomes” of what the Patient-Driven Payment Model will do to the industry. To say I have been shocked, appalled...
Skilled care operators might want to curb their PDPM enthusiasm
By
John O'Connor
May 07, 2018
If some operators are getting the PDPM tingly-dinglys, I’m experiencing something else: a sense of déjà vu.
Long-term care: a bear or bull market?
By
John O'Connor
Apr 18, 2022
When it comes to the long-term care market, is this a time to view it as bearish or bullish?
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
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