Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
CMS not saying much about a payment deal that could be a game changer
By
John O'Connor
Jul 08, 2013
In recent years, many skilled care operators have nervously watched the Centers for Medicare & Medicaid Services reduce and sometimes eliminate payments for physical, occupational and speech therapy services....
Senate Democrats ask HHS to restore some nursing home regulations
By
Kimberly Marselas
Feb 22, 2018
A group of Democratic senators is asking the Department of Health and Human Services to reverse its stance on rolling back nursing home regulations.
Panel on non-invasive ventilation seeks to simplify ‘maze’ of regulation for device coverage
By
Alicia Lasek
Aug 20, 2021
Recommendations aimed at expediting CMS coverage determinations for non-invasive ventilation devices could help ensure that LTCF residents and others get quick access to lifesaving treatments.
The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...
CMS withholds another $1-plus million over vaccine mandate compliance
By
Danielle Brown
Jun 14, 2022
The Centers for Medicare & Medicaid Services has withheld $1.2 million in funding from Florida over the state’s refusal to monitor facilities ability to meet the federal COVID-19 vaccine requirement...
Kansas losing $350,000 for not enforcing healthcare worker vaccine mandate
By
Danielle Brown
Mar 31, 2022
The Centers for Medicare & Medicaid Services is cutting Kansas’ Medicaid funding by nearly $350,000 for not enforcing the federal healthcare worker COVID-19 vaccine mandate in nursing homes and hospitals.
BREAKING: HHS reveals provider incentive plan for remaining $2 billion in relief funding
By
James M. Berklan
Sep 03, 2020
The Department of Health and Human Services announced it will use infection and mortality rates to determine nursing home incentive pay when distributing a previously announced $2 billion Provider Relief...
Senators request ACO rule withdrawal
May 25, 2011
Seven Republican Senators have asked the Centers for Medicare & Medicaid Services to withdraw a proposed regulation creating accountable care organizations, according to a letter released Tuesday.
Will there be a ‘real’ CMS administrator soon? It’s looking so
By
James M. Berklan
Apr 03, 2013
If you’re a gambling person, it looks like the odds just got a whole lot better for Marilyn Tavenner becoming the next administrator of the Centers for Medicare & Medicaid Services. That’s...