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.
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 ...
Federal regulators are weighing changes to the three-year-old Patient Driven Payment Model to account for missed opportunities — and potentially inappropriate coding choices — a top Medicare official ...
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 ...
2025 NOV 07 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Researchers detail new data in Managed Care. According to news reporting originating in Providence, Rhode Island, ...
On June 8, 2023, the Centers for Medicare & Medicaid Services (CMS) announced a new nationwide audit of all skilled nursing facilities (SNF) and Hospital swing bed providers that submit claims for ...
The Centers for Medicare and Medicaid Services has issued the final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective ...
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 ...
The Centers for Medicare and Medicaid Services has issued a final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective ...
The skilled nursing sector is entering 2026 on firmer footing than a year ago. At that time, a new presidential administration and the unknown fate ...
Inconsistent interpretation of federal regulations at the state level, and surveyor subjectivity are gray areas that will make compliance navigation in ...
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