‘A Lot of Uncompensated Care’ Looms for Nursing Homes Amid Medicaid Cuts, Stricter Medicare Advantage Oversight

Amid Medicare Advantage’s rise, future policy shifts – including faster prior authorization requirements and Medicaid cuts – could increase nursing homes’ challenges with uncompensated care and care transitions. Experts say proactive planning and greater technology use can help facilities ease patient transfers and reduce costly hospital delays. At a recent webinar moderated by Skilled Nursing […]

‘Need to Tell the Story’: CMS Survey Changes and Coding Mistakes Drive Tighter Documentation, Dedicated Audit Roles

With the Centers for Medicare and Medicaid Services (CMS) updating surveyor guidance and Care Compare metrics, compliance teams at nursing homes are adapting their internal audit response processes. However, operators say the task has caused hurdles for their clinical teams, with some even creating a dedicated role specifically to manage such audits. A major source […]