Headlines

2.2% Medicare Boost For Skilled Nursing Facilities

The Centers for Medicare and Medicaid Services (CMS) have announced that nursing homes will receive a $750 million Medicare pay increase in 2021. For more on this and insight into the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) please see below. View Article Here

Read More »

Medicare Advantage Continues Upward Trend

Between the fourth quarter of 2018 and the fourth quarter of 2019, Medicare Advantage increased to account for 34 percent of Medicare.  It’s predicted that this rise will continue this year. For more on this, please see the article below. View Article Here

Read More »

Telehealth Reimbursement Rates Being Assessed Post-COVID

CMS Administrator Seema Verma has indicated that telehealth expansions put in place during the pandemic may be permanent after a thorough assessment. For more on this with a look into three areas being examined before permanent telehealth expansions are finalized, please see the article below. View Article Here

Read More »

Medicare Funds On Hold For Facilities Acquired Early This Year

Facilities that were acquired early in 2020 have noticed the much needed Medicare relief fund meant to help weather the financial strains of the COVID-19 crisis, stuck in limbo. Funds were distributed to providers based on their 2019 Medicare reimbursements by the Department of Health and Human Services (HHS), who sent money to the account

Read More »

Enhanced Enforcement Actions For Nursing Homes Unveiled By CMS

The Centers for Medicare and Medicaid Services (CMS) unveiled enhancement enforcement actions for nursing homes based on COVID-19 data and inspection results. This announcement came on June 1, 2020, expanding on the previous actions taken by CMS to assure safety and security in nursing homes during the COVID-19 crisis. Facilities with persistent infection control violations

Read More »

PDPM Provides ‘Fiscal Lifeline’ During COVID-19 Crisis

In October of last year, the Patient-Driven Payment Model (PDPM) was implemented, more closely linking Medicare reimbursement with resident acuity. The current COVID-19 crisis appears to have validated the federal government’s decision to replace the RUGs model with PDPM. For more on this see the article below. View Article Here

Read More »