Payment

McKnight's Annual Online Expo is almost here

February 06, 2012

The Sixth Annual McKnight's Online Expo is just around the corner. The virtual trade show will get you up-to-speed on the hottest topics in long-term care: payment, capital, technology, wound care and quality. The event kicks off Wednesday, March 21 and continues on March 22.
 

Medical necessity — slippery for some

December 02, 2011

Medical necessity has become a common phrase in healthcare terminology, but what exactly does it mean? Unfortunately, this term has become very subjective and is the primary reason we have been denied payment for services.
 

Final Super Tuesday webinar on MDS 3.0 to be held tomorrow

September 12, 2011

Is your facility scrambling to stay on top of possible Medicare changes with MDS 3.0? Let McKnights' last 2011 Super Tuesday webinar, "Keeping pace with the MDS 3.0," get you up to speed.
 

Blockbuster provider call Tuesday on 11.1% Medicare payment cut, MDS 3.0 changes

August 18, 2011

The Centers for Medicare & Medicaid Services will host a national provider call Tuesday on skilled nursing facility payment changes for 2012 based on the new MDS 3.0 assessment system. Officials have called for an average 11.1% payment cut to providers, causing an uproar in the long-term care community. A huge audience at this government-sponsored call is all but ensured. Pre-registration is necessary by Monday. EDITOR'S NOTE: This session has been filled; federal officials will be coming out shortly with details about another opportunity the afternoon of Sept. 1.
 

Super Tuesday 2 offering free CEUs at McKnight's 'Payment challenges & opportunities' special webcast

April 28, 2011

Providers will learn about "Payment challenges and opportunities" Tuesday at the next McKnight's Super Tuesday webcast. Free CE credits will be offered for the first time. The event kicks off at 2 p.m. (Eastern) May 3 (this Tuesday) and will feature McKnight's "Ask the Payment Expert" columnist Patricia Boyer, MSN, NHA, RN, as well as top McKnight's editors. Free registration for the event is ongoing at www.mcknights.com/expo2011.
 

DAY TWO: Payment, quality webinars round out 5th Annual Online Expo

March 24, 2011

Record crowds on Wednesday attended the first day of the 5th Annual McKnight's Online Expo, which wraps up today with seminars focusing on payment issues and new quality initiatives. It's not too late to register for these events at www.mcknights.com/expo2011.
 

MedPAC recommendation of 0% pay increase for 2012 leaves long-term care providers fuming

March 16, 2011

Long-term care groups on Tuesday strongly criticized the latest round of recommendations to Congress from the Medicare Payment Advisory Commission.
 

McKnight's 5th Online Expo expands ... to six months duration

February 07, 2011

Ignoring the adage "If it ain't broke, don't fix it," organizers of the McKnight's Online Expo are changing the formula to their highly successful virtual trade show for long-term care professionals. McKnight's is kicking off its expo with two days of educational sessions March 23 and 24—and extending the experience with six more months of new educational sessions and exhibits.
 

Grassley rips CMS Medicare contractors for inappropriate payments

October 12, 2010

The Centers for Medicare & Medicaid Services needs to have more oversight of Medicare contractors, Sen. Charles Grassley (R-IA) recently argued.
 

Provider input sought for reform-driven quality strategy

September 17, 2010

The Department of Health and Human Services is seeking input from nursing homes, hospitals and other healthcare providers on a proposed National Health Care Quality Strategy and Plan.
 

CMS to host conference call on RUG-IV, payments on Tuesday

August 23, 2010

The Centers for Medicare & Medicaid Services Tuesday will host a conference call on the Resource Utilization Group-Version 4 (RUG-IV) and the interim payment system this year for skilled nursing facilities.
 

CMS might need six months before starting to reprocess nursing home payment claims, agency says

June 04, 2010

It could take federal regulators six months or more to devise and implement a new payment scheme for nursing homes after a new resident assessment tool goes active Oct. 1, an official with the Centers for Medicare & Medicaid Services said Thursday.
 

CMS to release revisions to nursing home manual today, to complete full RAI update in two weeks

June 04, 2010

A release of newly updated material for the RAI (Resident Assessment Instrument) manual used by nursing home operators is expected this morning. Also, the Centers for Medicare & Medicaid Services expects to have the "completely revised manual" out by June 18, the agency's Thomas Dudley said Thursday during a conference call.
 

Regulators to start conference-call series to teach new nursing home payment system

June 04, 2010

Providers with questions about the new nursing home payment system will be able to take part in a series of three training conference calls, beginning later this month, an official with the Centers for Medicare & Medicaid Services announced Thursday. The first will be held at 1:30 EDT on June 24 and deal with concurrent therapy, look-back periods and ADLs (activities of daily living).
 

Fourth annual McKnight's Online Expo: Six days to go

March 18, 2010

Long-term care advocates Wednesday applauded Health and Human Services Secretary Kathleen Sebelius for acknowledging "inherent flaws" in the Five-Star Quality Rating System. The fourth annual McKnight's Online Expo will kick off March 24 with a webcast discussing issues related to nursing home quality.
 

McKnight's Online Expo, a valuable learning opportunity

March 11, 2010

Hungry for information? We thought so. That's why we're offering our fourth annual online expo later this month.
 

Court: Medicare hospice provider cap calculated improperly

March 04, 2010

The federal Medicare hospice provider cap is calculated in a way that is "arbitrary, capricious, an abuse of discretion, and unlawful," a federal court recently ruled.
 

McKnight's to hold fourth annual Online Expo next month

February 08, 2010

Healthcare reform has been a big topic this year. But not everything demands reform. That could certainly be said for the McKnight's Online Expo.
 

From MedPAC to IMAC: Obama would hand Medicare pay rate decisions to new independent council

July 17, 2009

The Obama administration has begun the process of shifting control over Medicare rate adjustments for nursing homes, hospice and other providers away from Congress and toward a new, five-member independent executive agency, according to recent reports.
 

CMS notifies providers of Medicare scam at doctors' offices

June 19, 2009

The Centers for Medicare & Medicaid Services alerted healthcare providers Thursday to a scam involving fake Medicare faxes to physician offices.
 

Obama opens the door for drastic new Medicare, Medicaid cuts for nursing homes

June 16, 2009

Frayed nerves were showing in the provider community Monday after President Obama announced his intentions Saturday to cut $313 billion more from Medicare and Medicaid over the next 10 years. The proposed new cuts are in addition to the $635 billion in Medicare and Medicaid spending reductions already included in the president's FY 2010 budget, and include billions in potential payment reductions.
 

Study suggests reducing number of Medicare Part D plans could save beneficiaries money

June 09, 2009

The Medicare Part D prescription drug benefit is too confusing for seniors, often leading beneficiaries to choose unnecessarily expensive plans, according to a new study. What's more, seniors may not even realize they're overpaying.
 

Obama endorses letting Medicare Payment Advisory Commission set payment rates

June 08, 2009

The move to empower the Medicare Payment Advisory Committee to enact its own policy proposals gained significant traction last week when President Obama said in a letter to lawmakers that he would be open to the idea as a way to reduce healthcare costs.
 

Potentially inappropriate nursing home payments spur increased Medicare Part A, Part D oversight

June 08, 2009

Tens of millions of dollars were likely inappropriately paid to skilled nursing facilities through the Medicare Part D prescription drug program in 2006, according to a recently released report from the Department of Health and Human Services Office of the Inspector General.
 

Nursing home lobbyists urge lawmakers for change but don't expect long-term care reform

June 05, 2009

Hundreds of nursing home owners and operators blitzed congressional buildings in Washington on Thursday, pressing lawmakers for better Medicare payments, a halt to post-acute payment bundling system talk and other improvements. But one thing they weren't expecting to make much progress on was long-term care reform.
 

Kohl introduces bill to increase long-term care insurance use but cautions about over-reliance

June 05, 2009

Sen. Herb Kohl (D-WI) has introduced legislation that would encourage the purchase of long-term care insurance. But he also emphasized during a Wednesday hearing of the Special Committee on Aging, which he chairs, that long-term care insurance still may not be for everyone and "should not be considered as a cure-all."
 

SEIU recommends changes to long-term care as way to reduce healthcare costs

June 03, 2009

When President Obama announced May 11 that six leading healthcare industry groups would band together to reduce healthcare costs by $2 trillion over the next decade, many were skeptical. On Monday, however, those groups submitted their proposals--and one has suggested changing care delivery in the long-term care field.
 

Nursing home advocates converging on U.S. lawmakers to demand better Medicare reimbursement

May 29, 2009

More than 300 nursing home owners and operators are expected to meet in Washington on Wednesday and Thursday to try to persuade lawmakers to be generous with Medicare funding. The Obama budget proposal for fiscal 2010, combined with a standard marketbasket update, would leave providers about $330 million, or about $17 per resident day, below this year's payment levels. Providers will be taking their cues from top lobbyists at the American Health Care Association's spring conference before storming Capitol Hill for visits with their Congressmen and Senators. "Top policy issues will be Medicare funding, the proposals for bundling of post-acute payments, and defeating arbitration legislation that would prohibit the use of pre-dispute arbitration agreements," an AHCA spokeswoman said.
 

Rockefeller introduces bill making MedPAC independent executive branch agency

May 27, 2009

The Medicare Payment Advisory Commission (MedPAC) is a legislative entity whose purpose is to advise Congress on matters of Medicare reimbursement rates and coverage policies. Now, one senator has introduced legislation that would transfer the agency to the executive branch and give it more political muscle.
 

Quality improvement program for Missouri nursing homes leads to cost savings, analysis finds

May 14, 2009

Nursing homes and long-term care facilities in Missouri showed significant care improvements and cost savings over the last three years as a result of the Quality Improvement Program of Missouri (QIPMO), according to an analysis of the program.