CMS tightens guidance for nursing home dialysis providers
By
Kimberly Marselas
Mar 23, 2023
Federal officials on Wednesday updated guidance meant to improve the delivery of nursing home dialysis, a service many providers have been adding to attract new residents and improve quality of life for...
CMS proposal offers long-awaited fix for Medicare Advantage appeals
By
Kimberly Marselas
Nov 08, 2023
Skilled nursing providers would get a new, improved appeals process for Medicare Advantage denials under a proposal issued late Monday by the Centers for Medicare & Medicaid Services.
CMS shares new coverage details for Alzheimer’s drug Leqembi
By
Alicia Lasek
Jun 26, 2023
On the eve of an FDA decision, CMS has released new information about the detailed patient data that clinicians must provide to ensure Medicare coverage when prescribing Leqembi.
Wait-and-see staffing rule exemptions meant to ‘safeguard’ residents: CMS
By
Kimberly Marselas
Apr 25, 2024
Skilled nursing providers will not have to go through a stand-alone application process to be exempted from provisions of a new federal staffing mandate, an official with the Centers for Medicare & Medicaid...
CMS urges states to link accountability, Medicaid funding
By
Kimberly Marselas
Aug 23, 2022
While providers largely agreed with Monday’s new federal call for states to tie increased Medicaid funding to accountability, they remained concerned about what that could mean for nursing homes in states...
It’s time to prep comments to CMS on its proposed nursing home staffing mandate
By
James M. Berklan
Sep 01, 2023
Operators can now get started on submitting comments critiquing the administrations proposed nursing home minimum staffing mandate.
House committee split raises new questions on nursing home staffing rule’s future
By
Kimberly Marselas
May 01, 2024
Some House lawmakers Tuesday painted their effort to repeal a new nursing home staffing mandate as a bid to ensure access to care and to stake their authority over a rogue regulatory agency at the same...
Why CMS is shifting its infection control focus to sepsis
By
Kimberly Marselas
Apr 11, 2024
BALTIMORE — Quality experts at the Centers for Medicare & Medicaid Services will be taking a closer look at sepsis rates in nursing homes while continuing broader efforts to improve infection control,...
Three questions to boost nursing home audit readiness
By
Brian Evans
Sep 20, 2023
Nursing home and long-term care operators have already faced a number of key shifts since the beginning of 2023. Consider a recent example from the Centers for Medicare & Medicaid Services: an update on...
Medicare Advantage plan settles upcoding allegations for $22.5M
By
Kimberly Marselas
Aug 02, 2023
A Medicare Advantage plan will pay $22.5 million to settle allegations that it systematically reviewed patient charts to tack on additional charges before submitting claims to Medicare, federal law enforcement...