Copernicus update! The Earth now revolves around ICD-10 codes
By
Steven Littlehale
Oct 03, 2018
In the past, our skilled nursing world has revolved around a sun of its own, known as resource utilization groups (particularly the lucrative high-therapy ones). Now, however, according to the details...
Ensign execs see potential 5% PDPM cut as acquisition opportunity, concerned about CMS calculations
By
Danielle Brown
May 03, 2021
A recalibration of the Patient Driven Payment Model’s parity adjustment has several long-term care operators worried about potential steep cuts to skilled nursing reimbursements. But executives with...
Cutting red tape, except for skilled care operators?
By
John O'Connor
Oct 29, 2018
Despite recent government officials’ pronouncements, it seems everyone has less red tape to deal with — except, apparently, skilled care operators.
New analysis helps providers prep for PDPM, highlights 3 key attributes of nursing homes that excel in...
By
Marty Stempniak
Mar 06, 2019
Many skilled nursing operators are not prepared for the industry’s upcoming payment model switch, but a new analysis shares some key tips to close that knowledge gap.
SNF therapy: Time per-patient declined 80 minutes, staffing off nearly 15% with PDPM, study finds
By
Danielle Brown
May 10, 2021
The implementation of the Patient Driven Payment Model resulted in a huge drop-off in therapy staffing at nursing homes, a new study confirms. The findings have researchers concerned that the declines...
Research those CMS dinner invitations thoroughly
By
James M. Berklan
Aug 13, 2021
I don’t know what was more shocking this week: A warning that federal regulators might actually double the amount they could trim from nursing home reimbursement rates next year or the way some veteran...
A new kind of COVID-19-fueled drama unfolding right before our eyes
By
James M. Berklan
Mar 05, 2021
When providers get back to operating more the way they want to, will stakeholders be amused or will they feel like they’re watching an unfolding tragedy?
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
Providers tell CMS it’s ‘decidedly’ the wrong time to toy with PDPM rates
By
Kimberly Marselas
Jun 03, 2021
Providers need more time before the Centers for Medicare & Medicaid Services would implement any adjustments to PDPM payment rates, operators and associations have told the agency in official comments.
Data expert strips down PDPM myths, truths
By
James M. Berklan
Feb 25, 2019
Long-term care professionals have been diligently cramming to prepare for a new skilled nursing reimbursement system in October, but a data expert had a sobering observation for presentation attendees...