CMS names 5 new triggers that lead to extra surveys
By
James M. Berklan
Feb 01, 2021
The Centers for Medicare & Medicaid Services has revised the criteria that require states to conduct the specific surveys, the agency noted in a memo to state survey agencies Jan. 4.
Transport rates for portable X-rays in peril for 11 states
By
Liza Berger
Feb 02, 2020
Nursing home providers in 11 states and Washington, D.C., may have to send more residents to the hospital to undergo X-rays, if a change from a Medicare Administrative Contractor goes into effect this...
Medicaid clout is growing
By
James M. Berklan
Jan 05, 2020
Occupancy rates may have stabilized, but skilled nursing providers’ dependence on low-paying Medicaid funding grew during the third quarter, according to figures released in December by the National...
Supreme Court ALJ decision adds to Medicare appeal jam
By
Marty Stempniak
Aug 09, 2018
Medicare appeals might be getting a little more complicated for skilled care providers, thanks to a recent ruling from the U.S. Supreme Court, legal analysts said.
Family wins camera case
By
James M. Berklan
Jul 06, 2017
The Minnesota Department of Health ruled against a provider recently in a closely watched case involving a surveillance camera in a resident room.
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.
Matching pay rates to slow
By
James M. Berklan
Mar 01, 2012
Lower Medicaid federal matching rates will be in place for about 30 states in fiscal 2014, according to a report from the National Association of Medicaid Directors. Just a handful of states will see an...