CMS pledges to use ‘full array’ of tools to enforce 2024 Medicare Advantage rules
By
Josh Henreckson
Jan 12, 2024
Despite early fears, long-term care leaders have some reason to be optimistic that changes to Medicare Advantage rules for 2024 will be enforced.
Why CMS is shifting its infection control focus to sepsis
By
Kimberly Marselas
Apr 11, 2024
BALTIMORE — Quality experts at the Centers for Medicare & Medicaid Services will be taking a closer look at sepsis rates in nursing homes while continuing broader efforts to improve infection control,...
Tuesday CMS Open Door Forum will discuss minimum staffing rule
By
James M. Berklan
May 03, 2024
The next CMS Long-Term Services and Supports Open Door Forum will take place at 2 p.m. ET with an updated agenda that includes a new nursing home staffing rule update.
CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
It’s time to prep comments to CMS on its proposed nursing home staffing mandate
By
James M. Berklan
Sep 01, 2023
Operators can now get started on submitting comments critiquing the administrations proposed nursing home minimum staffing mandate.
Three questions to boost nursing home audit readiness
By
Brian Evans
Sep 20, 2023
Nursing home and long-term care operators have already faced a number of key shifts since the beginning of 2023. Consider a recent example from the Centers for Medicare & Medicaid Services: an update on...
Medicare Advantage plan settles upcoding allegations for $22.5M
By
Kimberly Marselas
Aug 02, 2023
A Medicare Advantage plan will pay $22.5 million to settle allegations that it systematically reviewed patient charts to tack on additional charges before submitting claims to Medicare, federal law enforcement...
CMS call takes listeners back in time for MDS compliance but offers nothing new on staffing mandate
By
James M. Berklan
Sep 01, 2023
The Centers for Medicare & Medicaid Services invited the nation’s nursing home stakeholders to a conference call Thursday but played its cards close to the vest regarding its pending release of a first-ever...
Aging committee chair delivers another broadside about nursing home surveys
By
Jessica R. Towhey
Jul 28, 2023
A powerful US senator is bringing added firepower in his quest to fix what he sees as major issues with state surveys of nursing homes. It’s an effort that had one leading advocate channeling Alanis...
More than 80% of nursing homes do not meet the updated requirements in the final staffing mandate from the Centers for Medicare & Medicaid Services, according to new analysis from media outlet KFF. Those...