Payment

If you work with managed care (and who doesn’t anymore), chances are pretty good you’re already on a collision course that’s been accelerated lately

A recalibration of the Patient Driven Payment Model’s parity adjustment has several long-term care operators worried about potential steep cuts to skilled nursing reimbursements. But executives with...

Medicare Advantage’s aggressive market penetration represents a major threat to skilled nursing providers, some of whom now find themselves clearing less per resident day through MA plans than they do...

Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...

Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.

Many nursing home COVID-19 patients would have benefitted from daily, reimbursed-for physician visits in their skilled nursing facilities, but they were not entitled to them.  With an epic crisis...

Skilled nursing operators are being encouraged to start analyzing their operations in order to prepare for a possible reduction in reimbursement levels if a recalibration to the Patient Driven Payment...

A recalibration to the Patient Driven Payment Model could have troubling payment implications for skilled nursing providers who are still trying to manage a difficult operating environment caused by the...

A proposal that would boost Medicare payments to skilled nursing providers by 1.3% next fiscal year also could trigger additional reporting requirements and increase the potential for penalties.

Nursing homes would receive a 1.3% net Medicare increase for fiscal year 2022 under a proposal announced by the Centers for Medicare & Medicaid Services late Thursday afternoon.