CMS: Count on lower reimbursement levels, tougher scrutiny of provider billing practices
Oct 18, 2011
Providers at a special healthcare policy forum in Washington received a sobering evaluation Monday for why they were hit with an average 11.1% cut in Medicare reimbursement starting Oct. 1. A top long-term...
CMS: Expect final nursing home staffing rule this year
By
Kimberly Marselas
Jan 23, 2024
The Centers for Medicare & Medicaid Services plans to finalize its minimum staffing rule for nursing homes during 2024, an official confirmed Tuesday during a national stakeholder call.
CMS eyeing PDPM case-mix additions, changes
By
Kimberly Marselas
Apr 24, 2023
Federal regulators are weighing changes to the three-year-old Patient Driven Payment Model to account for missed opportunities — and potentially inappropriate coding choices — a top Medicare official...
Medicare Advantage plans forcing providers to take ‘optional’ payment reductions
By
Kimberly Marselas
Nov 15, 2022
Many skilled nursing providers are still underusing Interim Payment Assessments under the nascent Patient Drive Payment Model, but one new pressure is driving some to submit those extra patient evaluations...
Not so fast: 10 states suing CMS over healthcare worker vax mandate
By
James M. Berklan
Nov 12, 2021
Despite many legal analysts’ view that the Centers for Medicare & Medicaid Services’ healthcare worker vaccination mandate will clear legal muster, a group of 10 states have filed suit to stop it.
PEPPER’s pause doesn’t wipe out prospects for nursing home self-monitoring
By
Kimberly Marselas
Feb 06, 2024
Federal regulators have suspended a key tool used by some nursing homes for internal auditing, but experts cautioned providers not to let the stoppage hinder their compliance efforts.
BREAKING: New CMS ownership proposal targets private equity, REITs and related parties
By
Kimberly Marselas
James M. Berklan
Feb 13, 2023
The Department of Health and Human Service this afternoon proposed a new nursing home ownership disclosure rule intended to make more clear ownership and management operations of facilities.
DAY TWO at the 2012 MDS National Conference: Providers playing MDS catch-up before April 1
Mar 08, 2012
CMS officials were listening, and that was positive. Very positive.
CMS chief holds second 1-on-1 with providers as reform looms
By
Kimberly Marselas
Apr 04, 2022
Leaders of several nonprofit skilled nursing providers warned Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure about the potential impact of “unfunded mandates” and “counterproductive”...
House report attacks, nursing homes fight back over allegations of deficient staffing, care and safe...
By
James M. Berklan
Sep 22, 2022
Congressional investigators pinned for-profit skilled nursing operators into a corner Wednesday, releasing a scathing report describing “dire” conditions caused by alleged lack of preparation and mismanagement...