tudy of Medicare provider and claims data found hospitals are choosing to work more closely with skilled nursing facilities that use fewer resources, record shorter lengths of stay, and perform better...
Ask the payment expert about …one star
By
Patricia Boyer
Oct 25, 2018
On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately...
Ask the Payment Expert? Why am I not receiving incentive payments for FY 2019?
By
Patricia Boyer
Nov 02, 2018
Why am I not receiving incentive payments for FY 2019 SNF Quality Reporting Program (QRP) and Value-Based Purchasing (VBP) are separate, but related, programs. QRP is required by the IMPACT ACT to collect...
Medicare demo trims SNFs and saves $62 million: CMS
By
Kimberly Marselas
Oct 25, 2018
Nearly $62 million in Medicare savings generated by affiliated healthcare providers since 2016 came largely at the expense of skilled nursing facilities, according to data from the Centers for Medicare...
Pay switch costs a bundle
By
James M. Berklan
Nov 02, 2018
Total episode payments declined but the Medicare program lost big from 2013 to 2016 with Bundled Payments for Care Improvement. The total cost was nearly $290 million. Model 2, the most commonly used track...
Medicaid changes sought
By
James M. Berklan
Dec 05, 2018
Skilled care providers were reacting with caution to proposed “significant” changes to private Medicaid plans that federal officials say will lessen regulatory burdens and give states more flexibility.