Medicare Reimbursement

CMS: Medicare rate will increase 2% in 2015, boosting skilled nursing facility reimbursements by $750 million

CMS: Medicare rate will increase 2% in 2015, boosting skilled nursing facility reimbursements by $750 million

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Medicare would increase skilled nursing facility reimbursements by $750 million in 2015 under an updated payment rate proposed Thursday. CMS also will begin tying reimbursements to new statistical area designations set by the Office of Management and Budget.

Providers' payments tied to readmissions

Providers' payments tied to readmissions

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President Barack Obama signed legislation that ties skilled nursing facility Medicare reimbursements to hospital readmissions, starting in 2018.

White House proposes 'accelerated' skilled nursing facility payment cuts

White House proposes 'accelerated' skilled nursing facility payment cuts

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The White House's proposed 2015 budget includes sharp cuts to skilled nursing facility reimbursements, which has drawn strong criticism from the nation's largest long-term care provider group. To cut federal spending on healthcare by $402 billion, the White House seeks to "encourage efficient post-acute care by adjusting payment updates for certain post-acute providers."

CMS should delay changing nursing home Medicare payments due to flawed calculations, AHCA says

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The Centers for Medicare & Medicaid Services should hold off on updating Medicare skilled nursing facility reimbursement rates due to potential problems in its calculation methods, the American Health Care Association stated Monday.

Pressure on senior care providers to improve efficiency may be misguided, say Medicare cost researchers

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Providers in areas with low average Medicare costs are not delivering care more efficiently than providers in high-cost areas, according to a new study. Prior studies said Medicare spending could be reduced by nearly a third if all providers adopted the practices of those in low-cost areas.

Incorrect ADL coding is common and costly, expert says

Incorrect ADL coding is common and costly, expert says

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Improper coding related to activities of daily living is common, causing providers to lose significant Medicare reimbursements, a coding expert said during a McKnight's Super Tuesday webcast. "The biggest coding error I find is undercoding," said Mary-Beth Newell, RN, vice president of clinical reimbursement at Post Acute Consulting. "Undercoding is much more prevalent than overcoding."

Urge focus on whole person

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Long-term care providers should treat residents holistically, rather than narrowing in on an illness, to reduce rehospitalization rates, researchers recommended recently.