Medicare Advantage rule finalizes independent appeals process, helping providers ‘stuck in the middle’
By
Josh Henreckson
Apr 08, 2024
A final rule announced by the Centers for Medicare & Medicaid Services Thursday revised the appeals process for Medicare Advantage beneficiaries who have been denied coverage. The new rule should be a...
CMS provides first look at shorter, Risk-Based Survey process
By
Kimberly Marselas
Apr 04, 2024
The Centers for Medicare & Medicaid Services on Wednesday revealed initial information about a potential “Risk-Based Survey” option that could be available to some of the nation’s best performing...
Cost, interpretation of new enhanced barrier precautions worry providers as rule kicks in
By
Kimberly Marselas
Apr 03, 2024
A new set of regulations requiring the use of enhanced barrier precautions for many nursing home patients has left providers scrambling to understand the rationale behind some standards and grappling with...
Experts fear ‘bigger, stronger stick’ in new Medicare pay rule
By
James M. Berklan
Apr 01, 2024
Nursing home stakeholders are reacting with contempt and concern to key provisions of the newly proposed fiscal 2025 Medicare Part A pay rule.
CMS adds enhanced barrier precautions to infection control guidance
By
Kimberly Marselas
Mar 22, 2024
Nursing homes must begin to use enhanced barrier precautions to prevent broader transmission of multidrug-resistant organisms and to help protect patients with chronic wounds and indwelling devices, the...
Transparency and diversification in a value-based world
By
Erin Dunn
Mar 13, 2024
In the dynamic realm of healthcare, the winds of change are ushering in an era marked by increased transparency, positioning it as a cornerstone of value-based care (VBC). This shift not only enhances...
CMS delivers providers payment lifelines in the wake of Change Healthcare outage
By
Josh Henreckson
Mar 12, 2024
Federal regulators are opening pathways to shore up nursing homes’ finances in the wake of a cyberattack that has impacted Medicare and Medicaid billing nationwide.
CMS official to providers: Help us capture data to drive Medicare Advantage reforms
By
James M. Berklan
Mar 07, 2024
The increased use of health data and providers’ own voices should be considered among the best tools available for achieving change in a system that increasingly relies on Medicaid Advantage and other...
Workforce improvement No. 1 target in final OIG report on nursing home pandemic effects
By
Josh Henreckson
Mar 01, 2024
Steep challenges faced by nursing homes during the COVID-19 pandemic continue to hinder their ability to provide quality care and adequate staffing, according to new report findings from the US Department...
Also in the News for Friday, Mar. 1, 2024
By
Kimberly Marselas
Mar 01, 2024
Nursing home adopts 4-day work weeks for frontline nursing staff … Bill would establish federal grants for state ‘multisector plans for aging’ … CMS fines owners of abruptly closed St. Louis nursing...