Accuracy mistakes in MDS 3.0 data may cause additional payment problems, a reimbursement expert warns.
Far more than half of the $360 billion in Medicare payments made just two years ago were based on traditional fee-for-service models without regard to quality or value, according to an independent report released Tuesday.
The Centers for Medicare & Medicaid Services plans to raise hospice payment rates by nearly $200 million, or 2%, in fiscal year 2016. They come under a sweeping proposal establishing payment tiers based on length of stay and laying the groundwork for additional quality reporting measures.
More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers used their own methodology to create their own "data driven" story.
The Senate overwhelmingly voted to pass H.R. 2 Tuesday night, paving the way for repeal of the Medicare Sustainable Growth Rate and drawing the praise of the largest nursing home association in the country.
It might still be snowing in some parts of the country, but there's no better sign of spring than the beginning of the McKnight's Online Expo.
McKnight's 9th Annual Online Expo kicks off Wednesday, and organizers are bracing for record numbers of attendees.
The Justice Department announced on Thursday it had captured $3.3 billion from healthcare fraud prosecutions and other deals in 2014, bringing to nearly $28 billion the total amount it has recouped since the beginning of its 18-year-old Health Care Fraud and Abuse Control (HCFAC) Program.
Healthcare is mandated to reduce spending. The problem is that the Centers for Medicare & Medicaid Services and others are so blinded by the "reduce spending" element that we have lost our ability to appreciate prevention.
Conventional wisdom tells us that many existing options will not cut it as more discriminating customers arrive in long-term care. But maybe it's also time for operators to start giving more thought to a fundamental question: Will my future customers be able to pay?
You can forgive long-term care providers if they weren't outwardly jumping for joy at Monday's announcement that Medicare is going to start paying for quality, and not quantity, of services.
As the sands of the year race to their finish, there is one certainty about the long-term care news in 2014: It's been wild and trying.
Healthcare payments linked to the quality of care are causing challenges to existing fraud and abuse laws, a government official said Wednesday.
The SNF Open Door Forum to be hosted Thursday by the Centers for Medicare & Medicaid Services should get the phone lines burning. PPS Payment reform, 2015 payroll staffing data collection, quality measures and more will be discussed.
I have been blessed with an astute business mind, and am always on the lookout for new pricing models for long-term care. I know we're in this profession for love, not money. But no margin, no mission, as they say. Which is much better than what they used to say — no profit, no point.
As value-based payment and delivery models take hold in Medicare, providers must shift their focus from managing stays to managing episodes of care. Experts from Avalere Health leading a McKnight's Sept. 23 free webinar will delve into how key episode-level data can help long-term care managers form strategies for participating in new models and networks.
A funny thing happened on the way to a semi-annual eye-rolling over a MedPAC report. It gave me reason to sit up with interest. Even more unlikely, it contained information that made some long-term care providers happy.
When you talk to experts in this field about the year ahead, an unsettling pattern soon emerges. Almost everyone seems fairly confident that regulators will be taking a much closer look at operators.
It's hard to comment on the Commission on Long-Term Care's just-submitted report without getting hacked off. Really, really hacked off. To call it a fool's errand would be to insult misdirected dimwits.
The nation's skilled nursing facilities can expect an aggregate $500 million boost in Medicare payments next year — $320 million less than the Centers for Medicare & Medicaid Services proposed.
If you hang around long enough, you learn there are only two things long-term care providers fear after Republicans and Democrats. That would be hospitals and doctors.
President Barack Obama has named the final three members of the Commission on Long-Term Care created as part of January's fiscal cliff deal.
Hospitals are releasing too soon, but nursing homes can seize opportunities to reduce readmissions, INTERACT creator saysMarch 01, 2013
Nursing homes need to build relationships with their local hospitals to reduce unnecessary readmissions, cut costs and provide better care, a geriatric expert said Thursday.
Healthcare providers are increasing coordination to reduce the cost of care, but overly zealous consolidation can actually end up costing more, an expert panelist said at a Monday briefing.
Republican House leaders say they will continue to fight a part of the healthcare reform law that could lead to Medicare spending reductions without direct input from Congress. The House was scheduled to vote on rules for the 113th Congress Thursday. Part of them would include a GOP-promoted package that would disallow powers of the Independent Payment Advisory Board (IPAB).
As federal debt negotiations continued Wednesday, an industry group unveiled its three-part plan for reform in post-acute care.
While many states have increased provider taxes since 2008, many also raised payment rates for skilled nursing facilities, according to a three-year study from the General Accountability Office.
Medicare service providers cannot object to a Medicare Recovery Audit Contractor's (RAC) decision to re-open a payment decision, a federal appeals court ruled Tuesday.
It's not too late to register for today's McKnight's Super Tuesday Webinar "2012 Reimbursement Update: The Least You Need to Know," which can earn you one free continuing education credit.
Assisted living residents generally are from mid- to high-income households, and the majority can pay for care on their own, a survey released Friday reveals.