CMS let the cat out of the bag, but it’s managed care that’s ready to pounce
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
PDPM
Ensign execs see potential 5% PDPM cut as acquisition opportunity, concerned about CMS calculations
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 The Ensign Group believe such a move could be beneficial to the company on the acquisition front.
Provider payment adjustments coming — this time without the indictments
Could it be that federal regulators and the caregivers they oversee are becoming more civil to one another?
CMS combing the data as it narrows PDPM adjustment targets
The Centers for Medicare & Medicaid Services has been monitoring and conducting “very comprehensive data analysis” to identify any trends or changes in provider behavior, payments and beneficiary care quality since implementing the Patient Driven Payment Model, agency leaders said Thursday.
Spring cleaning 2021: Will your rehab team pass the white-glove review?
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 a bit more normalized. Maintenance is my general excuse when others, or the kids, ask why we have…
‘Audits are back,’ and COVID-19 care is in the hot seat
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.
CMS to providers: Help us determine your PDPM cuts
Providers will have a say in how the Centers for Medicare & Medicaid Services recalibrates its Patient-Driven Payment Model, agency officials reiterated in a call with skilled nursing operators Thursday where they outlined their attempt to rein in spending. Agency officials encouraged providers to submit suggestions for particular cost-cutting methods during a SNF/Long-Term Care Open…
Refocus on capturing PDPM drivers to improve care, quality and reimbursement
With the prioritization of COVID-19 vaccinations in nursing facilities since late December, facilities nationwide have seen a significant decline in both new cases and deaths among resident populations. Though the decline of COVID-19 cases is very encouraging, many skilled nursing facilities are now facing widespread systemic issues that the pandemic exposed. Ongoing and dynamic infection…
SNF payments could drop by $12 per patient day under potential PDPM recalibration
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 Model moves forward.
Danger ahead?: SNFs face potentially steep cuts as CMS considers changes to PDPM, VBP program
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 pandemic, experts are warning.
