Tag: SNF

Study finds half of SNFs to be unprofitable

Approximately half of SNFs are not operating at a profitable level, according to the 34th SNF Cost Comparison and Industry Trends Report, released on October 10 by consulting firm CLA. The report found that the 75th percentile of SNFs had an operating margin of 4.5% in 2018, while the bottom 25th percentile had margins of […]

CMS requiring hospitals to disperse SNF quality data to patients

CMS released a final rule on September 26 requiring hospitals to provide SNF quality reports to patients at discharge. These reports should include information about SNFs such as quality measures, star ratings, and readmission rates. To avoid favoritism, hospitals cannot legally recommend a preferred SNF to patients, so patients are often forced to locate a […]

Medicare improperly covered ambulance rides from hospitals to SNFs

The OIG reports that Medicare improperly paid $1.9 million to ambulance providers for transport from hospitals to SNFs from 2014 to 2016. As a result of this former study, the OIG released an updated report on September 11 regarding hospital-to-SNF transfer billing practices. The OIG audited 99 ambulance providers from 2015 to 2017 and found […]

Hurricane Dorian stirs up the age-old debate: Should you stay or should you go in a natural disaster?

When a hurricane strikes, SNFs, along with the rest of the population in coastal regions, are often issued mandatory evacuations. In 2012, researchers at PBS studied the effects evacuations had on SNF and nursing home residents in the weeks after hurricanes. In the study, To Evacuate or Shelter in Place: Implications of Universal Hurricane Evacuation […]

Despite evacuation orders, some SNFs decide to stay

As of September 2, nearly 100 nursing homes and SNFs have evacuated on the eastern coast of Florida. But while Governor Brian Kemp has issued a mandatory evacuation for 21 counties on the Georgia, coast, about half of SNFs and nursing homes in the area have decided to shelter-in-place, according to the Georgia Department of […]

AHCA/NCAL urges CMS to define “inpatient” for three-day rule

The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) penned a letter to CMS administrator Seema Verma in response to a tweet she published earlier in August. The tweet addressed the three-day rule, stating that a SNF resident must first spend three days as a hospital inpatient to be eligible for Medicare […]

CMS to hold open door forum about new Medicare cards

CMS to hold open door forum about new Medicare cards CMS will be hosting an open-door forum on September 11 to discuss the status of new Medicare cards and Medicare Beneficiary Identifiers (MBI). Beginning January 2020, Medicare will only accept claims submitted with MBIs. The updated cards are designed to offer better identity protection by […]

CMS releases SNF Provider Preview Reports

CMS recently released the updated SNF Provider Preview Reports. Based on quality data submitted by SNFs, the reports include assessment-based quality measures recorded between Q1 2018 and Q4 2018 and claims-based quality measures recorded between Q4 2016 and Q3 2018. SNFs have the opportunity to review their performance data until September 16. While corrections to […]

AHCA awards five long-term and post-acute care providers with Gold Quality Award

The American Health Care Association (AHCA) and National Center for Assisted Living (NCAL) recently awarded four SNFs and one assisted living community their highest accolade, the Gold Quality Award. For SNFs to be considered for this award, they must “have invested multiple years in mastering and applying the rigorous quality improvement standards of the Baldrige […]