On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately...
Medicare demo trims SNFs and saves $62 million: CMS
By
Kimberly Marselas
Oct 25, 2018
Nearly $62 million in Medicare savings generated by affiliated healthcare providers since 2016 came largely at the expense of skilled nursing facilities, according to data from the Centers for Medicare...
Hospitals get more choosy
By
Kimberly Marselas
Oct 25, 2018
tudy of Medicare provider and claims data found hospitals are choosing to work more closely with skilled nursing facilities that use fewer resources, record shorter lengths of stay, and perform better...
Impatient with the conservative participation in its Medicare Shared Savings Program, the Centers for Medicare & Medicaid Services has proposed an overhaul of its most popular accountable care organization...
‘Persuader rule’ is rejected
By
John O'Connor
Aug 09, 2018
The Department of Labor has officially revoked a rule that requires employers to report whenever they seek assistance from consultants or lawyers to dissuade employees from joining unions.
Medicare Advantage pay to jump as enrollment grows
By
James M. Berklan
May 08, 2018
Medicare Advantage plans will receive a 3.4% uptick in federal payments in 2019. That’s nearly 90% more than the 1.84% increase proposed in February. Notice of the bigger raise came in the Centers...
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
Budget offers pay concerns
By
James M. Berklan
Mar 08, 2018
Even though a new, unified payment system has been discussed for several years, the mere mention of it in President Trump’s budget proposal jolted observers in February. The budget specifically said...
MFP funding pressure builds
By
James M. Berklan
Feb 08, 2018
The National Council on Aging sounded alarm bells in early January, warning that the 12-year-old Money Follows the Person Medicaid program could soon run out of funding. The program promotes greater access...
SNFs can prosper after CMS’ bundled pay postponement
By
Jan 08, 2018
Skilled nursing providers should capitalize on the opportunities presented by the Centers for Medicare & Medicaid Services’ plans to roll out more voluntary payment initiatives, according to observers.