So far, some providers have been put through a wringer without enough verification that it’s been worth it, according to a new Government Accountability Office report.
Ask the payment expert: How many minutes of therapy should be provided, according to diagnosis?
By
Caryn Adams
Dec 05, 2019
How many minutes of therapy should be provided, according to diagnosis?
MedPAC focuses on rehab
By
James M. Berklan
Dec 01, 2013
The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.
Agencies seek feedback on quality measure reporting
By
John Hall
Feb 04, 2016
Nursing homes were allowed a 30-day window last month to give the Centers for Medicare & Medicaid Services a piece of their mind about the way the agency certifies and tests electronic health record products.
Ask the payment expert: I am seeing an increase in Medicare Replacement Policy additional document requests....
By
Caryn Adams
Oct 01, 2020
I am seeing an increase in Medicare Replacement Policy additional document requests. How should we respond?
State’s Medicaid managed care data lacking, OIG says
By
Elizabeth Newman
Aug 05, 2015
The Office of the Inspector General recommended that the Centers for Medicare & Medicaid Services withhold federal funds from states that do not accurately report encounter data under their Medicaid managed...
Court drops backlog order
By
Sep 06, 2017
The Department of Health and Human Services will have another shot at explaining why it believes a four-year timeline for clearing the current Medicare appeals backlog is “impossible,” thanks...
Panel slams fee for service
By
Amy Novotney
Jul 01, 2014
The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation’s healthcare system, according to a May 29 report from a panel of White House advisors....
More hospice info wanted
By
James M. Berklan
Sep 01, 2013
Federal regulators have added another layer of bureaucracy for hospice providers operating within skilled nursing facilities.
Rush to more complex care? Not so fast, researchers say
By
James M. Berklan
Jan 05, 2020
The onset of the Patient Driven Payment Model may be driving some providers to admit more clinically complex residents, but that might not be the most lucrative strategy, according to new research.