People seeking Medicaid coverage for long-term care are subjected to differing asset-verification checks among the states, a new report finds.
‘Persuader rule’ is rejected
By
John O'Connor
Aug 09, 2018
The Department of Labor has officially revoked a rule that requires employers to report whenever they seek assistance from consultants or lawyers to dissuade employees from joining unions.
CMS eases doc delegation
By
James M. Berklan
May 01, 2013
Skilled nursing operators now have greater flexibility in allowing non-physicians to do certain tasks. The Centers for Medicare & Medicaid Services clarified what may be delegated in an April 3 brief.
Medicare Advantage pay to jump as enrollment grows
By
James M. Berklan
May 08, 2018
Medicare Advantage plans will receive a 3.4% uptick in federal payments in 2019. That’s nearly 90% more than the 1.84% increase proposed in February. Notice of the bigger raise came in the Centers...
Ask the Payment Expert about … expedited review
By
Patricia Boyer
Sep 04, 2015
The expedited review process was developed so a resident could quickly appeal the process if he or she disagreed when a facility decided that a resident is no longer covered under skilled services.
Proposal would bring unity to LTC state ombudsmen
By
James M. Berklan
Jul 01, 2013
States have run their respective long-term care ombudsman programs in differing ways for nearly 20 years, but that would change if a new proposal advances.
New testing mandates could cost up to $15K each week
By
James M. Berklan
Oct 01, 2020
Larger nursing homes could be on the hook for as much as another $15,000 per week to comply with newly announced COVID-19 testing requirements for staff members, LeadingAge warned in a mid-September report.
SNFs can prosper after CMS’ bundled pay postponement
By
Jan 08, 2018
Skilled nursing providers should capitalize on the opportunities presented by the Centers for Medicare & Medicaid Services’ plans to roll out more voluntary payment initiatives, according to observers.
New ACO designed to better serve dual eligibles strategy
By
James M. Berklan
Jan 06, 2017
The Centers for Medicare & Medicaid Services announced Dec. 15 it was starting an ACO pilot program aimed at beneficiaries enrolled in both Medicare and Medicaid.
CMS widens audits, hones in on Part A claims, expert says
By
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...