The Patient Protection and Affordable Care Act will expand compliance-related regulations for skilled nursing facilities.
Medicare Advantage: A not-so-advantageous deal for beneficiaries and providers
By
Brendan Williams
Nov 29, 2023
Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare...
An insider’s guide to managed care contract exclusions
By
Susie Mix
Dec 18, 2023
There’s a key question more providers need to know the answer to: What is a contract exclusion? A contract exclusion details the medications and treatments that are not included in the levels of a managed...
One quarter of SNFs stuck with Medicare margins below 4%
By
Danielle Brown
Jul 21, 2022
Medicare margins for all freestanding skilled nursing facilities across the United States varied widely in 2020, according to new data from the Medicare Payment Advisory Commission.
How to make your nursing facility RAC-ready
By
Bryan Baird
Nov 08, 2011
As skilled nursing facilities adjust to the changes to Medicare that arrived early last month, they must be ready for Recovery Audit Contractors. RACs are independent auditors for the government that are...
New law strives to keep older adults at home
By
Liza Berger
Mar 31, 2010
When you read between the lines of the healthcare reform law, its general intent becomes clear: The law is about increasing home- and community-based services (HCBS), and improving wellness and prevention.