CMS wants tougher survey oversight of nursing homes
By
James M. Berklan
Dec 05, 2019
Providers could be headed for more challenging experiences with surveyors.
Medicare appeals backlog to be fixed by 2020, HHS says
By
James M. Berklan
Dec 06, 2016
Federal health officials say tweaks to the system will enable them to eradicate a massive backlog of Medicare decision appeals in 2019. They made the prediction in a court brief filed in U.S. District...
Groups tout payment plans; Pallone promises legislation
By
John Hall
Apr 04, 2016
Several organizations have weighed in on how to finance long-term care services and supports for more than 12 million Americans, leading a Congressional committee to push toward a possible legislative...
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
Medicare has two more years to reclaim any overpayments
By
James M. Berklan
Feb 01, 2013
Providers will have to hold their breath a little longer after receiving Medicare payments, thanks to a little-publicized provision of recently signed fiscal cliff legislation.
SNFs may help enroll: CMS
By
Tim Mullaney
Aug 01, 2013
Organizations may serve as authorized representatives for nursing home residents in the Medicaid application and enrollment process, according to a final rule issued by the Centers for Medicare & Medicaid...
SNF networks show worth
By
Oct 06, 2017
Hospitals that used a network of preferred skilled nursing facility partners reduced their readmission rates four times faster than hospitals that didn’t, a study in the September issue of Health...
BCPI ups quality: analysis
By
James M. Berklan
Mar 05, 2017
A recent analysis shines a positive light on value-based care models such as federal hip and knee replacement bundled payment programs.
Satisfaction? Not yet: CMS
By
James M. Berklan
Mar 04, 2020
Federal regulators say that nursing homes could eventually come to see patient satisfaction scores included in Five Star Quality Ratings and on the Nursing Home Compare website.
Poll: IPAB best of options
By
James M. Berklan
Aug 02, 2011
In contrast to providers’ preference, more Americans want an independent payment board to make decisions about Medicare spending, rather than leaving the current system as is.