More than half of nursing homes missing out on PDPM, could lead to deals: expert
By
James M. Berklan
Jan 25, 2021
The federal government’s second-year Medicare payment system for nursing homes continues to be a boon for them, especially under pandemic conditions, but more than half are missing rightful reimbursements.
Keeping workers will be biggest struggle for nursing homes as pandemic persists, national policy expert...
By
Danielle Brown
Sep 30, 2020
Workforce challenges that have plagued long-term care operators during the coronavirus pandemic will get worse as the crisis further progresses this year, one of the nation’s top health policy analysts...
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.
A new appreciation for those who provide direct care
By
Kristy Wikum
Jul 14, 2020
In my 30+-plus years in the world of therapy, I have never seen a year like this. In October, we were hit with the change in reimbursement through the Medicare system called the Patient Driven Payment...
Strategic issues for PDPM on Oct. 14
By
James M. Berklan
Oct 02, 2020
A must-attend webinar on the Patient Drive Payment Model will present an executive review of the key data and compliance issues. The CE-available session starts at 1 p.m. ET Oct. 14 and features well-known...
‘Audits are back,’ and COVID-19 care is in the hot seat
By
Kimberly Marselas
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.
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...