Ask the payment expert: I am seeing an increase in Medicare Replacement Policy additional document requests....
By
Caryn Adams
Oct 01, 2020
I am seeing an increase in Medicare Replacement Policy additional document requests. How should we respond?
CMS plan to target CCRCs
By
James M. Berklan
Feb 02, 2020
A new federal proposal effectively proposing new Medicaid taxes could lead to the closure of some skilled nursing units in continuing care retirement communities in 18 states, according to provider advocates.
Ask the payment expert: How many minutes of therapy should be provided, according to diagnosis?
By
Caryn Adams
Dec 05, 2019
How many minutes of therapy should be provided, according to diagnosis?
Researchers call providers’ discharge habits into doubt
By
James M. Berklan
Jul 17, 2019
Providers can expect more scrutiny into their discharge practices thanks to research that has found that many Medicare patients appear to be sent home just as financial obligations change.
CMS: Stop ‘info blocking’
By
James M. Berklan
Mar 07, 2019
Federal regulators struck hard toward improving interoperability and information sharing between skilled nursing facilities and other providers.
Device program expands
By
James M. Berklan
Jul 09, 2018
A six-year-old Medicare demonstration program that focuses on pre-approvals for power wheelchairs and other mobility devices will get new life this fall. Overall, 31 items were added to the program, according...
PPS comments are sought
By
James M. Berklan
Aug 09, 2017
Federal regulators have agreed to gather more comments from providers and others on the revision of new skilled nursing prospective payment system case-mix methodology.
Medicare appeals backlog to be fixed by 2020, HHS says
By
James M. Berklan
Dec 06, 2016
Federal health officials say tweaks to the system will enable them to eradicate a massive backlog of Medicare decision appeals in 2019. They made the prediction in a court brief filed in U.S. District...
Ask the Payment Expert about … expedited review
By
Patricia Boyer
Sep 04, 2015
The expedited review process was developed so a resident could quickly appeal the process if he or she disagreed when a facility decided that a resident is no longer covered under skilled services.
Providers challenge proposal that adjusts payments, care
By
John Andrews
Jun 05, 2015
Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.