Tossed from Medicare once, nursing home psychologist pleads guilty in second fraud scheme
By
Kimberly Marselas
Dec 14, 2022
A nursing home psychologist previously excluded from the Medicare program over fraud allegations has pleaded guilty to new charges that he bilked the government out of another $2.5 million.
Physical therapy group praises Congress for thwarting 3.4 percent doc pay cuts
By
Kristen Fischer
Mar 13, 2024
The Alliance for Physical Therapy Quality and Innovation (APTQI) this week voiced its support of Congress for stopping a 3.4% cut to physicians’ pay that was included in the Medicare Physician Fee Schedule...
The skill of knowing the basics
By
Renee Kinder
Feb 16, 2023
In a world of constant chatter, revolving news streams, and search for the latest and greatest viral trend, there is a skill to shutting it all out and going back to the basics. In the realm of rehab...
Projected Medicare Advantage growth to bring more provider headaches, more congressional scrutiny
By
Joe Bush
Oct 05, 2022
Several large insurance providers are expanding their Medicare Advantage plans to new states and hundreds more counties, effective in 2023, adding pressure on skilled nursing operators as enrollment booms.
Provider lobbyists and lawmakers speed up pleas for help with physician fee cuts
By
Joe Bush
Dec 14, 2022
With a looming Friday deadline to keep the government funded, time is running out for Congress to prevent or abate Medicare physician’s fee cuts proposed by the Centers for Medicare & Medicaid Services.
Achoo! Springtime is PEPPER season
By
Renee Kinder
Apr 27, 2023
The sound of spring is in the air and irritants abound. The sniffling, sneezing and coughing is always a telltale sign of a change in seasons. April also brings to us the release of the Program for...
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...
MedPAC pushes 3 percent Medicare SNF cut in report to Congress
By
Kimberly Marselas
Mar 17, 2023
A key body that advises Congress on Medicare policy is calling for a 3% reduction in payments to skilled nursing facilities in fiscal year 2024.
Fasten your seatbelts: It MIGHT be a bumpy ride
By
Steven Littlehale
Oct 13, 2023
It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion. Countless MDS training sessions,...
Surprise Biden order ‘punishing’ for nursing home providers
By
Kimberly Marselas
Apr 19, 2023
An executive order signed by President Joe Biden Tuesday afternoon will trigger broad, cabinet-level activities intended to improve nursing home and other caregiving jobs and hold providers accountable...