A new federal review process designed to lower the rate of improper government payments is sending provider staffs scurrying to justify their coding.
Final pay rule and rates: A primer for rehab professionals
By
Renee Kinder
Sep 01, 2022
The October 2019 industry shift to the Patient Driven Payment Model allowed all rehabilitation professionals the opportunity to document specific clinical characteristics about the patients we serve and...
On PDPM cuts, Congress ‘stands ready’ to exert its authority — but where’s the checkbook?
By
Kimberly Marselas
Jul 05, 2022
Providers will no doubt be overjoyed to learn today that members of Congress — a whopping 40 of them! — are stepping into the fray over proposed cuts to the nursing home sector’s new payment model....
CMS leaning on providers to form new PDPM pay rates
By
Danielle Brown
Sep 16, 2021
The Centers for Medicare & Medicaid Services is relying on data metrics regarding trends or changes in provider behavior, payments and beneficiary care quality as it considers potential adjustments to...
COVID-19 dealt a devastating blow to nursing homes — don’t let looming cuts make it worse
By
Cynthia Morton
Jul 12, 2021
In late June, the U.S. Department of Health and Human Services Office of Inspector General released a report stating that approximately 42% of Medicare beneficiaries in nursing homes were diagnosed with...
COVID-19 underscores PDPM advantages
By
Bent Philipson
Jan 27, 2021
The efficacy of the Patient-Driven Payment Model has never been clearer than now, in the middle of the coronavirus pandemic. PDPM enabled skilled nursing facilities to see a 9% increase in Medicare reimbursement...
Keeping workers will be biggest struggle for nursing homes as pandemic persists, national policy expert...
By
Danielle Brown
Sep 30, 2020
Workforce challenges that have plagued long-term care operators during the coronavirus pandemic will get worse as the crisis further progresses this year, one of the nation’s top health policy analysts...
Understanding PDPM in value-based purchasing
By
Joel VanEaton
Jul 15, 2019
CMS has been clear that a major aspect to the design of the PDPM is payment that is quality informed. That cannot be overstated.
Ball girl, stand down!
By
Steven Littlehale
Aug 24, 2018
There is something you and your team must do immediately, the success of which will make or break your transition to the government’s new payment model. Relax. Refresh. Recharge. Only with a clear...
RCS-Done … Tech Support, please!
By
Renee Kinder
May 10, 2018
I was all ready for my presentation on RCS-I, and then I literally lost power and had the run yanked out from under me at the same time.