Nursing homes will be subject to escrow for all civil monetary penalties, CMS announces
By
Tim Mullaney
Sep 05, 2013
Nursing homes facing a civil monetary penalty due to any type of deficiency will be subject to escrow and entitled to request an independent informal dispute resolution process, according to a newly issued...
Nursing homes criticize CMS chest-thumping about $15.5M pandemic fines, severe citations
By
James M. Berklan
Aug 17, 2020
Nursing home operators were left shaking their heads and criticizing the Trump administration over the weekend after the latter touted larger than usual numbers of serious citations and fine amounts against...
Senators blast Medicare audits, say RAC payments should be changed
By
Tim Mullaney
Jul 10, 2014
The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during...
Government report describes bungled manual review process for therapy claims
By
Tim Mullaney
Jul 12, 2013
There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle...
Risk-bearing execs: Operators need to ‘make some noise’ to make some money
By
Kimberly Marselas
Jun 10, 2021
Skilled nursing providers looking to take on risk for long-term viability need to start getting creative, warn two executives in the business of connecting payers and providers in value-based partnerships.
LTC must pursue collaboration to reduce readmissions
By
Imran Javaid
Mar 24, 2014
Acute and post-acute providers are increasingly uniting around a shared goal – to lower hospital readmission rates for elderly and other vulnerable patients. Many caregivers and payers agree that...
CMS approves ‘unprecedented’ demo to create Medicaid block grant program
By
Danielle Brown
Jan 12, 2021
Tennessee has been approved by the Centers for Medicare & Medicaid Services to run a demonstration project that will make it the first state to simulate a Medicaid block grant program.
Five-Star makes complaints against nursing homes even more serious
By
Tyler J. Smith
Jul 06, 2009
Nursing homes have a difficult enough time contending with the survey and certification system. Now that the Five-Star Quality Rating System has begun, they have to work even harder to protect themselves...
The truth can set you free — or put your long-term care facility out of business
By
John O'Connor
Jan 11, 2013
Journalists generally get all warm and tingly when previously guarded information becomes available. It must be in our DNA. So I should probably be cheering ProPublica’s announcement that the government...
CMS leaning on providers to form new PDPM pay rates
By
Danielle Brown
Sep 16, 2021
The Centers for Medicare & Medicaid Services is relying on data metrics regarding trends or changes in provider behavior, payments and beneficiary care quality as it considers potential adjustments to...