Ask the payment expert … about quality and reimbursement correlations
By
Patricia Boyer
Jun 01, 2013
How can the Centers for Medicare & Medicaid Services correlate quality of care and reimbursement?
You always need to remember that Medicare is an insurance plan. As such, Medicare has rules, just like...
Nursing home operators lose 93% of appeals: report
Jun 04, 2008
The federal government won 66 of 71 appeals cases brought by nursing home providers last year according to a recent report from the Center for Medicare Advocacy. The Centers for Medicare & Medicaid Services...
CMS expands therapy payment research
By
Tim Mullaney
Oct 22, 2014
The government is expanding its research into alternative therapy payments, to consider more holistic changes to the way Medicare reimburses skilled nursing facilities, the Centers for Medicare & Medicaid...
Therapy caps back on as Congress delays action
By
Kimberly Marselas
Jan 04, 2018
Therapy caps are back on for now, even though Congress may still be prepared to eliminate them in 2018.
How to avoid end-of-therapy pitfalls
By
Shelly Mesure, MS, OTR/L
Oct 28, 2011
You are not required to offer therapy services on weekends under new MDS 3.0 changes instituted by the Centers for Medicare & Medicaid Services. But you do have to be careful if you don’t.
Ask the payment expert
By
Patricia Boyer
May 01, 2008
I understand that many facilities are being cited during state surveys for not following standards of clinical practice. That citation is frequently cross-referenced to the assessment process. What can...
Nursing homes expected to miss 15% antipsychotic reduction goal, but officials focus on progress
By
Elizabeth Newman
Mar 20, 2013
Skilled nursing facilities are making progress in reducing the off-label use of antipsychotics but are expected to fall far short of an overall 15% reduction goal.
CMS needs to improve oversight of Medicare contractors’ error rate reduction plans, report says
By
Tim Mullaney
Jan 21, 2014
Too many Medicare providers are receiving improper payments, and the Centers for Medicare & Medicaid Services should clamp down by doing a better job overseeing its contractors’ error rate reduction...
CMS: Count on lower reimbursement levels, tougher scrutiny of provider billing practices
Oct 18, 2011
Providers at a special healthcare policy forum in Washington received a sobering evaluation Monday for why they were hit with an average 11.1% cut in Medicare reimbursement starting Oct. 1. A top long-term...
CMS did more than ‘just’ cut Medicare pay by 11.1%
By
Shelly Mesure, MS, OTR/L
Aug 19, 2011
Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect...