Providers are scrambling to make sure they are filing Provider Relief Fund (PRF) reports correctly and have all relevant data to avoid auditing woes or rejected reports. Consultants and skilled nursing advocacy groups have stepped up to provide guidance on how to submit reports to the newly opened PRF portal — the Health Resources and […]
BKD
The rising tide of managed care enrollment for both Medicare and Medicaid patients continues to swell, and as the nation grapples with the costs of the pandemic, SNFs should be aware of the moves states might make to implement some type of managed care model as they try to secure budgetary stability. The steady increase […]
While the COVID-19 crisis in nursing homes may feel like a lifetime for staffers and family members, the CEO of a major non-profit provider in New York City warned that the challenges are only beginning. Daniel Reingold, chief executive of the Bronx, N.Y.-based RiverSpring Health, described the first eight weeks of the coronavirus pandemic, dating […]
The latest analysis of the new Medicare payment model for nursing homes again shows more operators scoring gains than suffering losses, but the change from the previous system may not be quite as straightforward — particularly as fee-for-service Medicare continues to lose ground to other payment sources. A little more than 67% of skilled nursing […]
In the skilled nursing world, a steady chorus of voices has warned that the new Patient-Driven Payment Model will not stay budget-neutral, as the federal government intended — and new findings from the consulting firm BKD back up their assertions. To get a snapshot of operator performance during the first quarter under the new Medicare […]
With skilled nursing facilities in multiple states facing significant shortfalls in their Medicaid reimbursement, supplemental payment programs used to bolster rates have become a lifeline. This is especially true for Texas and Indiana, both of which employ programs designed to get SNFs a higher rate for Medicaid services through varying mechanisms. Both states are motivated […]
A proposed paperwork change could have a major impact on nursing homes’ ability to bill for Medicaid services. The decision to eliminate Section G from the Minimum Data Set (MDS), a move by the Centers of Medicare & Medicaid Services (CMS) set for October 1, is being met with apprehension and confusion in the industry […]
Some of the private insurance companies that process Medicare claims on behalf of the federal government are holding up claims for skilled nursing facilities after the implementation of the Patient-Driven Payment Model (PDPM) in October. But it’s not clear how widespread that is, BKD director John Harned and senior managing consultant Sherri Robbins said on […]
Register NowTime: 1 p.m. – 2 p.m. CSTDate: Wednesday, November 13th The new Patient-Driven Payment Model (PDPM) is the first major update to the Medicare skilled nursing PPS in two decades, and went live just weeks ago. In this discussion, industry leaders will share what administrators need to know, primarily from a clinical and operational […]
Register NowTime: 1 p.m. – 2 p.m. CSTDate: Wednesday, November 13th The new Patient-Driven Payment Model (PDPM) is the first major update to the Medicare skilled nursing PPS in two decades, and went live just weeks ago. In this discussion, industry leaders will share what administrators need to know, primarily from a clinical and operational […]
Register NowTime: 1 p.m. – 2 p.m. CSTDate: Wednesday, November 13th The new Patient-Driven Payment Model (PDPM) is the first major update to the Medicare skilled nursing PPS in two decades, and went live just weeks ago. In this discussion, industry leaders will share what administrators need to know, primarily from a clinical and operational perspective, now […]
The first week of the new Medicare payment model for nursing homes has brought stories of rapidly shifting therapy patterns among some providers, and voices from the consulting and advocacy worlds are warning that any sudden movements could cause adverse effects — both immediately and down the road. The advent of the Patient-Driven Payment Model […]
Date: Wednesday, May 22Time: 1:00 p.m. CDTRegister Now The new Medicare payment system for nursing homes may be grabbing all of the flashy headlines in the post-acute care world, but Medicaid remains the dominant payer for nursing home services nationwide. Persistent funding shortfalls have caused waves of closures in states across the country, and operators […]
The Centers for Medicare & Medicaid Services (CMS) last week made a small policy change that could have a major beneficial impact for skilled nursing providers that rely on Medicaid. CMS updated its guidance for the Patient-Driven Payment Model (PDPM), indefinitely extending a key workaround for states that base Medicaid rates on the existing Medicare […]
With a new Medicare payment model for skilled nursing facilities just months away, operators who haven’t started planning for the changes are already months behind. Skilled Nursing News has been reporting on the new Patient-Driven Payment Model (PDPM) since the day it was finalized last July 31, and we’ve spent those eight months speaking to […]
On paper, the Patient-Driven Payment Model (PDPM) will only affect one pillar of the payment equation for skilled nursing facilities. But as players start to unpack the coming rule changes, PDPM’s reach begins to extend far beyond Medicare. Medicare Advantage and Medicaid frequently base rate calculations on the existing Medicare structure, a pair of experts […]
The government has predicted a mix of winners and losers under the new Medicare payment model taking effect later this year. But due to the impact of payment changes on provider behavior — both past and future — there could end up being more winners under the new system than regulators expect. Specifically, under the […]
As skilled nursing operators continue to deal with tight reimbursements and high labor costs, financial performance on the individual facility level has taken on greater and greater importance — and having a defined plan is key to success. “It doesn’t matter how much revenue you generate, or how much census goes up, if you don’t […]
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