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.
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...
A new appreciation for those who provide direct care
By
Kristy Wikum
Jul 14, 2020
In my 30+-plus years in the world of therapy, I have never seen a year like this. In October, we were hit with the change in reimbursement through the Medicare system called the Patient Driven Payment...
‘Audits are back,’ and COVID-19 care is in the hot seat
By
Kimberly Marselas
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.
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...
Skilled care operators might want to curb their PDPM enthusiasm
By
John O'Connor
May 07, 2018
If some operators are getting the PDPM tingly-dinglys, I’m experiencing something else: a sense of déjà vu.
BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification...
By
Kimberly Marselas
Apr 27, 2018
In a flurry of activity late Friday, the Centers for Medicare & Medicaid Services announced an $850 million pay raise for skilled nursing facilities for fiscal 2019 that comes along with major simplifications...
CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
By
Kimberly Marselas
May 05, 2021
If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately
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.