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.
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...
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.
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...