Valid dementia verdict? Nursing home and hospital diagnoses now better aligned, study finds
By
Alicia Lasek
May 03, 2021
Medicare’s dementia claim measures appear to have become more sensitive in recent years, agreeing more closely with hospital-based measures overall and for certain populations than in the past, investigators...
Ask The Payment Expert
By
Patricia Boyer
Jan 15, 2008
If we have a resident with a medical RUGs and therapy wants to pick up that resident, do we have to complete an OMRA assessment?
Brooks-LaSure: Medicare poised to re-evaluate coverage of new Alzheimer’s drugs
By
Alicia Lasek
Dec 12, 2022
In a Milken Institute summit session, the CMS administrator said that Medicare’s door is open to evaluating new data on emerging Alzheimer’s drug candidates.
Your money’s no good here
By
James M. Berklan
Mar 01, 2017
I’d say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.
Feds tell nursing homes to use vaccinated staff or lose funding: Providers cry foul
By
Danielle Brown
Aug 19, 2021
President Joe Biden announced late Wednesday afternoon that U.S. nursing homes must use workers vaccinated against COVID-19 or risk losing vital Medicare and Medicaid funding. Providers immediately criticized...
Senior care scores some wins in congressional budget deal
By
Alicia Lasek
Dec 21, 2022
A Congressional spending package for fiscal year 2023 supports key healthcare policy requests important to long-term care industry stakeholders, saving some clinicians and services from feared cuts.
Skilled nursing care’s cloudy Medicare future
By
Brendan Williams
Aug 18, 2023
A net gain of $1.4 billion for a sector comprised of over 15,000 nursing homes somewhat pales in comparison to a looming CMS staffing mandate estimated to cost nursing homes $11.3 billion a year.
Experts propose new Medicare payment model that emphasizes collaboration between nursing homes, hospitals
By
Danielle Brown
Nov 19, 2021
Post-acute care facilities could benefit from a new, comprehensive care payment model that would reimburse providers through collaborations with hospitals that aim to improve care and outcomes for residents,...
BREAKING: CMS to mandate COVID vaccines for nursing home staff
By
Danielle Brown
Aug 18, 2021
Nursing homes participating in the Medicare and Medicaid programs will be required to have all staff vaccinated against COVID-19 in order to continue receiving federal funding for the programs.
Providers get relief from Medicare cuts, but no liability protections in year-end legislative packages
By
Danielle Brown
Dec 22, 2020
Providers are set to receive extended relief from the 2% Medicare sequester cuts under a year-end legislative relief deal that was finalized by federal lawmakers on Monday. However, they will have to wait...