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.
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
Lawmakers pressure CMS to phase in nursing home pay cuts
By
Danielle Brown
Jul 06, 2022
The Centers for Medicare & Medicaid Services is facing increased pressure to phase in proposed pay cuts for skilled nursing facilities from federal lawmakers.
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...
SNFs should prepare ‘for the worst’ regarding PDPM cuts, expert says
By
Danielle Brown
May 09, 2022
Skilled nursing providers should be prepared for the federal government to move forward with planned reductions in reimbursements rates, even as they await a final decision on the recommendation, according...
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.
Demand for I-SNP coverage drives Longevity’s growth
By
Kimberly Marselas
Jan 17, 2022
Explosive growth for Longevity Health Plan’s I-SNPs underscores skilled nursing providers’ increasing willingness to partner for patient care, especially if partners add clinical capabilities and...
The top long-term care news stories of 2021
By
Danielle Brown
Dec 26, 2021
Here’s a rundown of the top stories that McKnight’s Long-Term Care News readers opened over the past 12 months.
Providers tell CMS it’s ‘decidedly’ the wrong time to toy with PDPM rates
By
Kimberly Marselas
Jun 03, 2021
Providers need more time before the Centers for Medicare & Medicaid Services would implement any adjustments to PDPM payment rates, operators and associations have told the agency in official comments.