Medicare audits ‘ramping up’ with isolation coding in the crosshairs
By
Josh Henreckson
Apr 22, 2024
Auditors are paying special attention to isolation and quarantine coding amid already heightened Medicare nursing home audits that are expected to increase in coming months, experts warn.
Not much to be thankful for?
By
John O'Connor
Nov 19, 2023
It’s easy to take what we have here for granted. This is a land of unmatched freedom and opportunity. Not that it’s always crimson and clover. For example, consider what skilled care providers are...
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
‘Critical access’ not at critical mass, but skilled nursing providers push on
By
Kimberly Marselas
Feb 02, 2023
Support for the concept of critical access nursing homes is growing among providers, but it has yet to gain much traction among industry leaders or the politicians who would need to create such a safety...
Missing or wrong data at admissions costs SNFs millions
By
Danielle Brown
May 23, 2022
SCHAUMBURG, Il. — Skilled nursing providers are leaving millions of reimbursement dollars on the table due to avoidable and costly billing errors — with most coming during the intake and admissions...
Stagnant Medicaid rates aren’t just putting operators faced with outsized staffing costs into the red; in some places, they may be limiting access to the very capital providers need to sustain daily...
Reform payment to compel hiring, home-like changes: expert
By
Danielle Brown
May 03, 2022
Lawmakers must first tackle “relatively low” Medicaid reimbursement rates for nursing homes if they want to prod providers into hiring more staff, adopting more home-like models of care and improving...
CMS ‘heartless’ for its big nursing home pay cut proposal
By
Danielle Brown
Apr 12, 2022
Providers are struggling with the federal government’s “heartless” decision to decrease pay for SNFs by $320 million in fiscal 2023.
‘Monumental achievement’: Providers back Medicaid increases tied to staffing
By
Danielle Brown
Apr 08, 2022
Illinois nursing homes are in line for a $700 million funding increase if a Medicaid funding bill gets a key stamp of approval from lawmakers this week.
BREAKING: U.S. nursing home system ‘ineffective,’ ‘unsustainable,’ National Academies...
By
Danielle Brown
Apr 06, 2022
A long-awaited national report has found that the way the United States finances, delivers and regulates nursing home care is ineffective and unstable. Immediate action is needed to bring meaningful changes...