The top lessons learned from the AHCA’s 2021 Convention and Expo
By
Tamar Abell
Nov 05, 2021
Attending the American Health Care Association’s (AHCA) 2021 Convention and Expo this year felt like reuniting with friends after spending two years on the frontline of a battlefield. The...
Take advantage of PDPM before it’s too late: experts
By
Danielle Brown
Oct 11, 2021
With the future of the Patient Driven Payment Model, at least as it’s currently constructed, up in the air, now is the time for providers to ensure they are accurately capturing resident needs and acuity...
Decline in therapy, higher pay rates could justify recalibration of PDPM
By
Danielle Brown
Oct 07, 2021
The Patient Driven Payment Model has become a bright spot during the COVID-19 pandemic for many providers two years after its implementation — but providers shouldn’t expect that shining light to last...
CMS leaning on providers to form new PDPM pay rates
By
Danielle Brown
Sep 16, 2021
The Centers for Medicare & Medicaid Services is relying on data metrics regarding trends or changes in provider behavior, payments and beneficiary care quality as it considers potential adjustments to...
The data is in! More trends from CMS ResDAC
By
Renee Kinder
Sep 09, 2021
All data lovers you are in luck! Another quarter of data is in, courtesy of the CMS Research Data Assistance Center (ResDAC). We have all watched trends since the initiation of the Patient Driven Payment...
Research those CMS dinner invitations thoroughly
By
James M. Berklan
Aug 13, 2021
I don’t know what was more shocking this week: A warning that federal regulators might actually double the amount they could trim from nursing home reimbursement rates next year or the way some veteran...
Therapists, take note! FY 2022 changes in PDPM ICD-10
By
Renee Kinder
Aug 12, 2021
The long-awaited final rule for FY 2022 provided updates in payment rates, wage index, value-based purchasing, quality reporting and a pause to the anticipated parity adjustment. Of equal interest, we...
Zimmet warns: PDPM ‘reprieve’ could mean 10 percent cuts next year
By
James M. Berklan
Aug 12, 2021
Providers basking in what appeared to be a major bright spot of the 2022 SNF PPS final pay rule still have plenty to be worried about, one of the industry’s leading payment experts warned Wednesday.
CMS: Providers themselves hold the key to regulators’ ultimate PDPM decision
By
Danielle Brown
Aug 06, 2021
Provider comments will be vital in determining the fate of potential pay adjustments to the Patient Driven Payment Model, federal health officials said Thursday.
CMS keeping ‘cards close to their chest’ on PDPM pay cuts: expert
By
Danielle Brown
Aug 02, 2021
The Centers for Medicare & Medicaid Services’ decision to hold off adjusting Patient Driven Payment Model payment rates could be the agency’s way of “playing their cards close to their chest” as...