Payment

HHS wants Kindred dual-eligible case dismissed

HHS wants Kindred dual-eligible case dismissed

By

The federal government wants a court to toss Kindred Healthcare's attempt to collect $10.1 million in dual-eligible payments, according to legal filings reported this week.

The 21st Century SNF: two paths forward

The 21st Century SNF: two paths forward

Many industry experts believe skilled nursing's current marketshare challenges are temporary — that SNFs only have to hang on until demographic shifts kick in. But I worry about this strategy.

RCS-Done ... Tech Support, please!

RCS-Done ... Tech Support, please!

By

I was all ready for my presentation on RCS-I, and then I literally lost power and had the run yanked out from under me at the same time.

Skilled care operators might want to curb their PDPM enthusiasm

Skilled care operators might want to curb their PDPM enthusiasm

By

If some operators are getting the PDPM tingly-dinglys, I'm experiencing something else: a sense of déjà vu.

Providers rewarded for sticking with it

Providers rewarded for sticking with it

By

One could excuse long-term care providers if they're walking around looking over their shoulders right now. I can personally identify with that.

BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification system

BREAKING NEWS: CMS gives skilled nursing 2.4% Medicare pay raise, unveils another new resident classification system

By

In a flurry of activity late Friday, the Centers for Medicare & Medicaid Services announced an $850 million pay raise for skilled nursing facilities for fiscal 2019 that comes along with major simplifications to a previously pitched resident classification system.

Is it the docs' turn to get stoned?

Is it the docs' turn to get stoned?

By

The Centers for Medicare & Medicaid Services brought out its equivalent of a brass band and confetti machine Tuesday to tout a new provider payment strategy. One could almost hear strains of "Happy Days Are Here Again" in the background.

Payment reform: Ready! Set! Don't go! No, I mean go!

Payment reform: Ready! Set! Don't go! No, I mean go!

By

Perhaps you think that the new therapy-payment bombshell (RCS-1) has turned out to be a dud. I hope to make the point that it was not.

One week away: 12th Annual Online Expo nearing record numbers

One week away: 12th Annual Online Expo nearing record numbers

By

New attendance records are expected to be set at the 12th Annual McKnight's Online Expo next week during the five-webinar virtual trade show.

MedPAC members on board with incremental shift to new pay model starting in 2019

MedPAC members on board with incremental shift to new pay model starting in 2019

By

Medicare Payment Advisory Commission members reportedly expressed unanimous support for a plan to transition to a new post-acute payment system beginning in 2019 at a meeting last week.

MedPAC suggests 2-year, incremental transition to new post-acute pay plan

MedPAC suggests 2-year, incremental transition to new post-acute pay plan

By

Long-term care providers could see changes to their payment system as early as 2019 under an incremental transition period being considered by the Medicare Payment Advisory Commission.

CMS wants more comments on possible overhaul of therapy pay rules

CMS wants more comments on possible overhaul of therapy pay rules

By

Despite the closing of the official comment period, the Centers for Medicare & Medicaid Services officials said Thursday they will still accept feedback from providers on a proposal to replace the current skilled nursing therapy reimbursement method.

Pay rates for lab tests threaten access for long-term care beneficiaries, group warns

By

Long-term care beneficiaries may be at risk under proposed reimbursement rates for clinical laboratory tests, the ​National Association for the Support of Long Term Care said on Tuesday.

Hospital group: MedPAC's proposed post-acute payment system 'unworkable'

Hospital group: MedPAC's proposed post-acute payment system 'unworkable'

By

A unified post-acute payment system proposed by the Medicare Payment Advisory Commission is "unworkable as a foundation" the American Hospital Association maintains.

The Hiker's Guide to the Long-term Care Galaxy

The Hiker's Guide to the Long-term Care Galaxy

By

Much of what I know about success (or failure) in life, love and long-term care has been reinforced by lessons learned over years of hiking. As a result, I now take it as a point of professional pride that regardless of the challenge facing our profession, I can always find an analogy to the trail.

Surviving risks, mining opportunities in regulatory and payment reforms: May 23

Surviving risks, mining opportunities in regulatory and payment reforms: May 23

Attendees will learn to navigate today's dramatically shifting regulatory landscape, and reap maximum payments, at a special McKnight's webinar on May 23. "Regulatory and payment reforms: Surviving risks, mining opportunities" will start at 1 p.m. Eastern and offers 1 free continuing education credit.

Your money's no good here

Your money's no good here

By

I'd say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.

Be careful about showing appreciation during unstable times

Be careful about showing appreciation during unstable times

By

Sometimes well-meaning supervisors (and sometimes leaders who don't want to do the hard work of dealing with problems) try to use appreciation as a "quick fix" for deeper issues that need to be addressed.

Now that was one tough week

Now that was one tough week

By

Most long-term care facilities would probably like to forget about last week. That's because two figurative bombshells exploded.

2016 ASCP Forum fast approaching

Final preparations are underway for the 2016 ASCP Forum, an annual meeting of long-term care stakeholders. The American Society of Consultant Pharmacies event takes place April 11 and 12 at the Hilton Baltimore.

Equal pay for equal work? Has MedPAC lost its mind?

Equal pay for equal work? Has MedPAC lost its mind?

By

If you are a post-acute provider, the big health news last week was not Donald Trump unveiling his post-Obamacare blueprint. It was the fact that MedPAC is getting closer to a rather brazen new approach to post-acute payments: equal pay for equal work.

Study reminds providers about the tough prospect of putting up or stepping aside

Study reminds providers about the tough prospect of putting up or stepping aside

By

My friend Rich admittedly didn't know much about the group of school kids he was about to oversee. But as a business manager, he told me he had his own favorite method of ironing out disagreements between two squabbling parties. Stop the emails, third-party negotiating and excuse-making. Just put them face-to-face in a room together.

Online Expo, free CE credits around the corner

By

Providers have an outstanding chance to polish their knowledge and skills in three key areas of long-term care Wednesday. McKnight's 3rd Annual Fall Online Expo features nationally respected speakers addressing staffing, payment and quality delivery issues. All events, including up to three continuing education credits are free.

CMS lowers pay hike for skilled nursing facilities to 1.2%

By

Medicare skilled nursing facilities would get a net 1.2% pay increase — totaling $430 million — in fiscal 2016 under a final rule issued by the Centers for Medicare & Medicaid Services late Thursday.

Providers challenge proposal that adjusts payments, care

Providers challenge proposal that adjusts payments, care

By

Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.

Patient CARE Act is probed

By

Because it does not allow for states' consent, the proposed Medicaid Patient CARE Act block-grant program likely will be considered unconstitutional, say two public policy authorities.

Ask the payment expert ... about quality metrics

Ask the payment expert ... about quality metrics

By

A metric is a measurement of some sort of factor. For a quality metric, we are measuring quality in your facility. Companies measure performance against quality standards to determine whether they're meeting expectations. This measurement may be compared to benchmarks by labor market, by state or by national prevalence.

Dates, accurate data remain problems, MDS expert warns

Dates, accurate data remain problems, MDS expert warns

By

Accuracy mistakes in MDS 3.0 data may cause additional payment problems, a reimbursement expert warns.

Fee-for-service still consumes most Medicare outlays: Report

Fee-for-service still consumes most Medicare outlays: Report

By

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.

CMS plan would hike hospice rates in 2016

By

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.