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CMS officials have delivered an early gift to help providers like you map out where they should focus their compliance efforts — not just for 2024, but for 2025 as well.

Nursing home owners could face heightened background screening requirements under a proposal tucked more than 1,000 pages into a huge new proposed physician pay rule released Thursday.

Whether they’re teammates or rivals, nursing homes and hospitals should ever pass up a chance to learn from one another.

Policymakers should ensure that any approach to restructure manufacturer rebates shares savings with pharmacies and prevents insurers, PBMs or manufacturers from shifting their losses downstream.

Pressure to accept low-ball contracts with Medicare Advantage plans that continue to reduce reimbursement is driving some skilled nursing providers into “a death spiral,” a major aging services association...

If providers were charged a fee for challenging Recovery Audit Contractor findings, there wouldn’t be the current overwhelming backlog of Medicare appeals, says the administration — and, surprise,...

Experts warn that common MDS mistakes still plague many providers, threatening the bottom line and resident care. But software may hold the solution.

Skilled nursing facility operators should pay close attention to anti-kickback statutes trends because enforcement is evolving and the issues can affect providers greatly.

Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.

While much of the outrage around managed care denials has been directed toward Medicare Advantage plans, a federal advisory panel Thursday outlined policies that could force states to better track denials...