CMS: Providers themselves hold the key to regulators’ ultimate PDPM decision
By
Danielle Brown
Aug 06, 2021
Provider comments will be vital in determining the fate of potential pay adjustments to the Patient Driven Payment Model, federal health officials said Thursday.
‘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.
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...
To survive under PDPM, smart operators must integrate themselves into hospital networks, invest in tech,...
By
Marty Stempniak
Mar 28, 2019
A banking expert is predicting that the skilled nursing industry’s new payment model is going to create a world of “haves” and “have-nots.”
Ensign execs see potential 5% PDPM cut as acquisition opportunity, concerned about CMS calculations
By
Danielle Brown
May 03, 2021
A recalibration of the Patient Driven Payment Model’s parity adjustment has several long-term care operators worried about potential steep cuts to skilled nursing reimbursements. But executives with...
New analysis helps providers prep for PDPM, highlights 3 key attributes of nursing homes that excel in...
By
Marty Stempniak
Mar 06, 2019
Many skilled nursing operators are not prepared for the industry’s upcoming payment model switch, but a new analysis shares some key tips to close that knowledge gap.
SNF therapy: Time per-patient declined 80 minutes, staffing off nearly 15% with PDPM, study finds
By
Danielle Brown
May 10, 2021
The implementation of the Patient Driven Payment Model resulted in a huge drop-off in therapy staffing at nursing homes, a new study confirms. The findings have researchers concerned that the declines...
Need a PDPM boost? A new study points to physiatrists for $34,000 monthly kick
By
Kimberly Marselas
Oct 20, 2022
Physiatrists can help skilled nursing facilities more accurately capture reimbursement under the Patient Driven Payment Model, a leading payment consultant said Tuesday.
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.
Data expert strips down PDPM myths, truths
By
James M. Berklan
Feb 25, 2019
Long-term care professionals have been diligently cramming to prepare for a new skilled nursing reimbursement system in October, but a data expert had a sobering observation for presentation attendees...