BREAKING: CMS finalizes 2.7% pay raise, two year phase-in for PDPM cuts
By
Danielle Brown
Jul 29, 2022
The Centers for Medicare & Medicaid Services on Friday afternoon announced a finalized cut to nursing home Medicare pay rates for fiscal 2023.
House committee approves bill that would reform prior authorization under Medicare Advantage program
By
Danielle Brown
Jul 29, 2022
Providers demanding change to the Medicare Advantage program may soon get their wish after a House panel advanced a measure that would reform the program’s prior authorization process.
Providers warned not to interfere with resident healthcare coverage choices after $8 million settlement
By
Danielle Brown
Jul 13, 2022
The nation’s largest nursing home association is urging providers to properly educate staff on acceptable practices when it comes to discussing changes to residents’ healthcare coverage in order to...
Disenrolling residents from MA plans leads to $7.85 million provider settlement with feds
By
Danielle Brown
Jul 01, 2022
A New York-based provider is settling allegations that it switched resident’s Medicare coverage to maximize its reimbursements for nearly $8 million.
Federal officials keep heat on MA plans over denials, delays
By
Danielle Brown
Jun 30, 2022
Congressional lawmakers are being urged to address weaknesses in Medicare Advantage plans in response to a federal watchdog report that found that the MA organizations have often improperly denied or delayed...
Providers question managed care admissions in wake of denials
By
Danielle Brown
Jun 22, 2022
With denials on the rise, some long-term care providers are questioning the worth of admitting residents covered by managed care plans because they doubt they’ll be reimbursed for their services.
Nursing home reform won’t thwart Ensign’s steady success: analysis
By
Danielle Brown
Jun 17, 2022
The Biden administration’s proposed nursing home reform measures shouldn’t be a setback to the Ensign Group’s streak of record quarters, according to a new Seeking Alpha analysis.
In win for provider, judge rules some records can be withheld from state
By
Danielle Brown
Jun 13, 2022
A judge ruled that a New York provider does not have to turn over some resident records to the state as part of an ongoing investigation, since the documents are used for internal quality assurance purposes.
Failure to respond to lawsuit costs nursing home owner $105,000
By
Danielle Brown
Jun 09, 2022
The owner of a troubled New Jersey nursing home has been ordered to pay a public relations firm $105,000 after failing to respond to a lawsuit brought by the company for allegedly not paying for services.
Union pickets over nursing home related-party concerns
By
Danielle Brown
Jun 02, 2022
An East coast-based employee union is accusing a nursing home chain of using self-dealing contracts to increase profits instead of appropriately providing for residents and workers.