Therapy caps are back on for now, even though Congress may still be prepared to eliminate them in 2018.
CMS provides first look at shorter, Risk-Based Survey process
By
Kimberly Marselas
Apr 04, 2024
The Centers for Medicare & Medicaid Services on Wednesday revealed initial information about a potential “Risk-Based Survey” option that could be available to some of the nation’s best performing...
One more spin around the dance floor before CMS takes its bow
By
Kimberly Marselas
Apr 16, 2024
It’s the annual coming out season for the nursing home brass at the Centers for Medicare & Medicaid Services, who’ve recently been spotted at two provider conferences and filled a whole day’s agenda...
Wait-and-see staffing rule exemptions meant to ‘safeguard’ residents: CMS
By
Kimberly Marselas
Apr 25, 2024
Skilled nursing providers will not have to go through a stand-alone application process to be exempted from provisions of a new federal staffing mandate, an official with the Centers for Medicare & Medicaid...
Docs got $22.5M in overpayments by miscoding services during SNF stays: OIG
By
Kimberly Marselas
Jun 01, 2023
Physicians billed Medicare for at least $22 million in services that should have been included under a skilled nursing stay, a new report from the Health and Human Services Office of Inspector General...
After dry spells, providers get vital Medicaid increases. Now the big fear: Will they be ‘1-and-done’?
By
Jessica R. Towhey
Kimberly Marselas
Jun 12, 2023
As Medicaid negotiations successfully continue in various states, worries are already arising about how to sustain increases
The summer of our nursing homes’ discontent
By
Kimberly Marselas
Jun 01, 2022
Memorial Day weekend usually ushers in a feeling of lightness, but I’m weighed down by uncertainty this year. Will it be a summer of discontent?
CMS: Expect final nursing home staffing rule this year
By
Kimberly Marselas
Jan 23, 2024
The Centers for Medicare & Medicaid Services plans to finalize its minimum staffing rule for nursing homes during 2024, an official confirmed Tuesday during a national stakeholder call.
CMS eyeing PDPM case-mix additions, changes
By
Kimberly Marselas
Apr 24, 2023
Federal regulators are weighing changes to the three-year-old Patient Driven Payment Model to account for missed opportunities — and potentially inappropriate coding choices — a top Medicare official...
Medicare Advantage plans forcing providers to take ‘optional’ payment reductions
By
Kimberly Marselas
Nov 15, 2022
Many skilled nursing providers are still underusing Interim Payment Assessments under the nascent Patient Drive Payment Model, but one new pressure is driving some to submit those extra patient evaluations...