Medicare’s end-of-life model offers promise for care, savings, study finds
Nov 07, 2023
A new study showed how the Centers for Medicare and Medicaid Services (CMS) Medicare Care Choices Model (MCCM) provided benefits in terms of end-of-life care for older adults and cost savings.
AARP endorses bill to eliminate 3-day Medicare stay rule
Jessica R. Towhey
Sep 07, 2023
The nation’s largest advocacy group for seniors is again joining providers in pushing Congress to eliminate the three-day requirement that patients must meet before Medicare coverage for a skilled nursing...
Skilled services 101: Understanding the medical appropriateness exception
Oct 07, 2021
In our industry, we have all read it numerous times. Some of us can quote portions of it in our sleep… three consecutive calendar days, for a condition that was treated during the qualifying hospital...
Probe of improper Medicare Part D payments to SNFs among slate of new federal audits
Jan 22, 2021
Medicare Part D payments to skilled nursing facilities will face increased scrutiny over the next year from a federal watchdog agency.
Providers receive reprieve on advanced Medicare loan repayments
Oct 09, 2020
Providers who participated in the Medicare Accelerated and Advanced Payment Program for COVID-19 emergency will now have another year to pay back the loan thanks to Congress.
Four tips on making smarter purchasing decisions
Oct 31, 2014
Rising drug costs and declining reimbursements significantly impact profits, and long-term care pharmacies today have to do more with less.
Medicare should pay for skilled nursing services without a qualifying hospital stay, experts tell Senators
Jul 31, 2014
The time has come to eliminate hospital stay requirements for beneficiaries to qualify for Medicare coverage of skilled nursing services, experts told a Senate committee Wednesday.
Bill addressing admission status receives praise
Stephanie H. Kim
Jul 30, 2014
A bill that would require hospitals to give patients a formal notice of their admission status has received strong support from healthcare associations.
CMS announces Medicare appeals without administrative law judge hearings
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...
Charges that Omnicare forgave nursing providers’ debts as a form of kickbacks can proceed, judge...
Jun 17, 2014
A whistleblower can pursue charges that long-term care pharmacy Omnicare ignored skilled nursing companies’ overdue bills in exchange for certain kinds of business, a federal district court recently...