Tag: prospective payment system

CMS welcomes feedback on proposed case-mix rule, extends comment deadline

The Centers for Medicare & Medicaid Services (CMS) has extended the comment deadline for the advance notice of proposed revisions to case-mix methodology rule from June 26, 2017 to August 25, 2017. The advance notice of proposed rulemaking, titled “Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology,” was published […]

NEW: Billing boot camp for SNFs

HCPro’s new Skilled Nursing Facility Billing Boot Camp covers the latest Medicare billing rules and regulations so that you can help your facility bill appropriately for services and prevent payment denials. The bootcamp will be held Monday, August 14 – Tuesday, August 15, from 8:00 a.m. – 5:00 p.m. Skilled Nursing Facility Billing Boot Camp provides […]

Understand special SNF billing cases to avoid claims rejections

Editorial Note: This post is an excerpt from HCPro’s title Consolidated Billing for Long-Term Care by Frosini Rubertino, RN, BSN, C-NE, CDONA/LTC Often times, claim rejections and negative outcomes from billing compliance audits are results of ineffective or nonexhaustive billing processes within the skilled nursing facility (SNF). The below information will help providers lay the […]

SNF outlook, real estate investment trusts, Kindred, and where to from here

Editorial note: This blog post has been republished from Reg’s Blog: Senior and Post-Acute Healthcare News and Topics, with permission from the author. As the title of this post implies, a review of the status of the skilled nursing facility (SNF) industry is as much about current issues brought on by past issues influenced by […]

Looking for top long-term care news from 2016?

It’s been a busy year. Catch up on things you missed, track that PPS Alert for Long-Term Care article you’d like to have on hand, or start the year off with expert advice by perusing our 2016 story index. Not a PPS Alert subscriber? Sign up today to receive the industry’s leading resource devoted to […]

Essential tools for the MDS coordinator

Whether you are just beginning your career or are a veteran MDS coordinator, you play a pivotal role in managing the long-term care residents’ care.

MedPAC sends recommendations for SNF pay cuts and revised PPS to Congress

In the Medicare Payment Advisory Commission’s (MedPAC) final meeting of 2016, the advisory panel considered two key questions: Are Medicare payments for skilled nursing facility (SNF) care adequate? How should Medicare’s payments change for fiscal year 2018? On Thursday, January 12, the advisory panel submitted their recommended answers to Congress, which suggested the elimination of […]

Post acute care quality reporting programs will have preview reports available September 1, 2016

Prior to the release of data on IRF & LTCH Compare, IRFs & LTCHs are given the opportunity to review data during a 30-day preview period using their Preview Reports, which CMS will auto-generate and issue to providers via the CMS CASPER reporting application. The reports will be available from September 1- September 30, 2016. […]

CMS Updates Nursing Home Five-Star Quality Ratings

New quality measures are now included in the overall calculation for Nursing Home star ratings Today, August 10, 2016, the Centers for Medicare & Medicaid Services (CMS) updated the popular Nursing Home Compare Five-Star Quality Ratings to incorporate new measures, giving families more information at their fingertips to help them make important decisions about care. […]

Affordable Care Act payment model continues to improve care, lower costs

On August 9, the Centers for Medicare & Medicaid Services (CMS) released a new analysis demonstrating that the Independence at Home Demonstration continues to provide high quality primary care services for chronically ill Medicare beneficiaries in the home setting while saving the Medicare program money. The Independence at Home Demonstration is a patient-centered model that […]