Provider payment adjustments coming — this time without the indictments
By
James M. Berklan
Apr 30, 2021
Could it be that federal regulators and the caregivers they oversee are becoming more civil to one another?
CMS 5-claim audits so far a ‘debacle’
By
Jessica R. Towhey
Aug 22, 2023
A new federal review process designed to lower the rate of improper government payments is sending provider staffs scurrying to justify their coding.
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 to providers: Help us determine your PDPM cuts
By
Danielle Brown
Apr 16, 2021
Providers will have a say in how the Centers for Medicare & Medicaid Services recalibrates its Patient-Driven Payment Model, agency officials reiterated in a call with skilled nursing operators Thursday...
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...
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.
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.
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...
CMS combing the data as it narrows PDPM adjustment targets
By
Danielle Brown
Apr 23, 2021
The Centers for Medicare & Medicaid Services has been monitoring and conducting “very comprehensive data analysis” to identify any trends or changes in provider behavior, payments and beneficiary care...
Pay good providers more to care for dementia patients, researchers urge
By
Kimberly Marselas
Feb 09, 2023
Policymakers should consider incentivizing nursing homes to take patients with Alzheimer’s disease and related dementias, argue the authors of a new study that finds such patients currently are more...