Ask the payment expert … about quality and reimbursement correlations
By
Patricia Boyer
Jun 01, 2013
How can the Centers for Medicare & Medicaid Services correlate quality of care and reimbursement?
You always need to remember that Medicare is an insurance plan. As such, Medicare has rules, just like...
Dementia diagnosis on inpatient Medicare claims linked to lower mortality and ICU stays
By
Alicia Lasek
Nov 22, 2021
Undocumented dementia in nursing home residents who are transferred to acute care is linked to adverse outcomes, a new study finds. The good news is that acute care clinicians may now be recognizing dementia...
OIG: Volunteer Medicare fraud patrols had declining recovery in 2011
By
McKnight's Staff
Jun 26, 2012
The success rate of Medicare’s volunteer force of fraud-detecting beneficiaries is declining, a government report finds.
Compliance clock ticks
By
Terese Farhat
Feb 02, 2013
Nursing facilities have always faced an array of obligations in order to provide services to Medicare and Medicaid beneficiaries, which can sometimes seem burdensome in comparison with other providers....
Nursing home operators lose 93% of appeals: report
Jun 04, 2008
The federal government won 66 of 71 appeals cases brought by nursing home providers last year according to a recent report from the Center for Medicare Advocacy. The Centers for Medicare & Medicaid Services...
CMS expands therapy payment research
By
Tim Mullaney
Oct 22, 2014
The government is expanding its research into alternative therapy payments, to consider more holistic changes to the way Medicare reimburses skilled nursing facilities, the Centers for Medicare & Medicaid...
Analysis: Sequestration cut may mean loss of 766,000 healthcare jobs over 10 years
By
McKnight's Staff
Sep 12, 2012
A scheduled 2% sequestration cut in federal Medicare payments to providers could result in the loss of thousands of U.S. healthcare jobs, a new report warns.
OIG: Payment problems remain for Medicare Part D drugs in nursing homes
Jun 10, 2008
Two reports from the Office of Inspector General found problems with respect to the Medicare Part D program and nursing homes. One pertained to continuing payment obstacles while the other said that nursing...
Patients with dementia receive less home health, hospice at end of life
By
Diane Eastabrook
Feb 08, 2023
It is relatively difficult to identify when patients with dementia are within six months of death, a requirement to receive end-of-life hospice care, researchers report.
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...