The American Health Care Association on Thursday applauded a House measure that would inform Medicare beneficiaries of their observation status as hospital inpatient or outpatients. But that might be little consolation for skilled nursing facilities that face the prospect of not getting reimbursed after such observation periods.
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter of audits among all providers, including those in long-term care.
Regulators OK lung cancer screening for Medicare beneficiaries ... Anthem hackers suspected to have accessed personal information, including Social Security numbers ...15% of meaningful use Stage 2-eligible professionals have attested to the program's requirements, ONC says
Nursing homes will be asked to deliver care much more efficiently and for significantly less over the next 10 years based on proposals in the 2016 budget released by the White House on Monday.
Long-term care providers will be among the Americans especially interested Monday to learn what President Obama will include in his 2016 budget proposal.
Medicare reimbursements grew modestly in 2014, according to a government report that focused on the decrease in the federal deficit.
For just about every skilled nursing facility out there, this is probably a good time to break out the flop sweat. That is, unless the prospect of being culled from one of your most vital revenue streams is nothing to worry about.
In some ways, 2014 has been a monumental year. But it's not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed on Jan. 24, 2013.
The fallout from a recent spike in rehabilitation charges to government payers continued to make headlines in September. This time, a nursing home company was blamed for insufficient oversight of its contract therapy provider.
If outgoing MedPAC Chairman Glenn Hackbarth had his way, Medicare would pay for skilled nursing services without requiring a three-day hospital stay first.
Glenda Jimmo has reached a settlement with the federal government and will finally receive Medicare coverage for claims that were denied in 2007, which led her to file a class-action lawsuit over the so-called "improvement standard."
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 Services announced Tuesday.
Post-acute partnerships now have become a widespread strategy to reduce hospital readmissions, survey findsOctober 03, 2014
Hospital partnerships with post-acute providers can be considered a "key strategy" in reducing readmissions, according to market data gathered by executive advisory service Healthcare Intelligence Network.
When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or "CHOW." Because this could wind up endangering a Medicare provider agreement, It is imperative that more people understand the process, know the parties they're involved with and develop better awareness of the regulatory issues involved.
NJ physicians to face charges that they kept people as inpatients to qualify them for SNF coverage, judge rulesSeptember 03, 2014
A whistleblower can continue to pursue charges that a number of New Jersey physicians improperly designated Medicare beneficiaries as inpatients and sometimes prolonged their hospital stay to qualify them for skilled nursing care, a federal judge recently ruled.
When people are discharged from the hospital following an illness, injury or surgery, that's often not the end of the story.
Hospitals have been cast in a harsh light by long-term care advocates recently for allegedly over-using "observation stay" status. The practice can ultimately deny some patients subsequent Medicare coverage for nursing home admission.
Many providers are relieved that Medicare rates are slated to go up by 2% in the next fiscal year. After all, who wants to turn down $750 million, especially in a rate-cutting climate?
Medicare should cover people who go to a skilled nursing facility without a preceding hospital stay, experts recently told the Senate Special Committee on Aging.
When is a meager pay hike viewed as welcome news? When the source of that increase — namely, the federal government — seems intent on making cuts almost everywhere else.
A federal court in New York has tossed a whistleblower lawsuit charging that large long-term care pharmacies violated the False Claims Act by failing to dispense requested generic drugs.
NY man suspected of trying to smother nursing home resident ... Medicare agency publishes QIO evaluation criteria ... TX nursing home deaths raise questions about mentally ill residents
Depending on how you like to interpret the news, nursing home operators are either facing some of the worst of times, or they've been infused with new life.
Q: The government is notifying new participants in the Bundled Payments for Care Improvement initiative. Do you expect more post-acute providers in this latest round?
Medicare skilled nursing facility reimbursements will increase by $750 million next year under a final payment rule announced Thursday by the Centers for Medicare & Medicaid Services.
AOD Software has bought Stratis Business Systems Inc., a home health and home care cloud-based software system.
Genesis nursing home fired dietary worker due to her disability, government alleges ... Rehabilitation provider groups brief Senators, present findings that IRFs outperform SNFs ... Medicare accounted for the most improper payments the government made last year
Elder abuse is inflicted upon many of the more than 2 million Americans in long-term care settings, and more oversight is needed, according to a government report published Wednesday.
The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation's healthcare system, according to a May 29 report from a panel of White House advisors. The President's Council of Advisors on Science and Technology criticized the FFS payment model because it focuses on the volume of services provided rather than on better outcomes.
Minnesota routinely is named best state for long-term care, as it was last week in AARP's 2014 scorecard. AARP held a panel discussion to unveil the rankings, and of course an official from Minnesota was on hand to share his state's secret sauce. But the panel also featured a speaker from Mississippi, one of the lowest-ranking states. I came away thinking that Minnesota actually might not have much to teach Mississippi — and questioning what these types of state rankings accomplish.