Skilled nursing operators are anxiously awaiting next steps from the Office of Inspector General after the federal watchdog found a provider had grossly misused the relatively new PDPM payment system.
The patient-driven payment model (PDPM) has revolutionized health care for providers and their patients. These systems heighten treatment accuracy and ensure clients receive accurate billing for their ...
2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...
On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) released the FY 2023 Medicare Proposed Rule for Skilled Nursing Facilities (SNFs). Key policy ...
On April 11, 2025, CMS proposed a rule that would update policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for FY 2026 (Proposed Rule). The ...
Coding intensity and Medicare expenditures increased at skilled-nursing facilities after the implementation of the Patient Driven Payment Model in October 2019, according to a study published July 21 ...
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