Providers have professed gratitude for recent federal proposals to improve accountable care organizations’ design and operation. But efforts to limit healthcare utilization should be scrapped, said the...
Hospitals get more choosy
By
Kimberly Marselas
Oct 25, 2018
tudy of Medicare provider and claims data found hospitals are choosing to work more closely with skilled nursing facilities that use fewer resources, record shorter lengths of stay, and perform better...
Ask the payment expert: How many minutes of therapy should be provided, according to diagnosis?
By
Caryn Adams
Dec 05, 2019
How many minutes of therapy should be provided, according to diagnosis?
Ask the payment expert about …one star
By
Patricia Boyer
Oct 25, 2018
On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately...
Ask the Payment Expert? Why am I not receiving incentive payments for FY 2019?
By
Patricia Boyer
Nov 02, 2018
Why am I not receiving incentive payments for FY 2019 SNF Quality Reporting Program (QRP) and Value-Based Purchasing (VBP) are separate, but related, programs. QRP is required by the IMPACT ACT to collect...
Ask the payment expert: I am seeing an increase in Medicare Replacement Policy additional document requests....
By
Caryn Adams
Oct 01, 2020
I am seeing an increase in Medicare Replacement Policy additional document requests. How should we respond?
Medicare demo trims SNFs and saves $62 million: CMS
By
Kimberly Marselas
Oct 25, 2018
Nearly $62 million in Medicare savings generated by affiliated healthcare providers since 2016 came largely at the expense of skilled nursing facilities, according to data from the Centers for Medicare...
Rush to more complex care? Not so fast, researchers say
By
James M. Berklan
Jan 05, 2020
The onset of the Patient Driven Payment Model may be driving some providers to admit more clinically complex residents, but that might not be the most lucrative strategy, according to new research.
CMS wants tougher survey oversight of nursing homes
By
James M. Berklan
Dec 05, 2019
Providers could be headed for more challenging experiences with surveyors.
Satisfaction? Not yet: CMS
By
James M. Berklan
Mar 04, 2020
Federal regulators say that nursing homes could eventually come to see patient satisfaction scores included in Five Star Quality Ratings and on the Nursing Home Compare website.