CMS Halts Mandatory Medicare Reporting for Skilled Nursing Facilities
Stay informed on CMS's pause of Medicare reporting requirements for SNFs, impacting compliance timelines. Essential updates for healthcare providers.
OIG Uncovers Major PDPM Billing Noncompliance in Skilled Nursing Audit
The OIG's audit reveals significant noncompliance with PDPM billing in skilled nursing facilities, prompting potential repayments exceeding $31 million and signaling broader risks for Medicare reimbursement compliance.
Medicare Advantage Challenges and Opportunities for Skilled Nursing Providers
Trilogy Health Services CMO discusses Medicare Advantage's impact on skilled nursing, focusing on administrative challenges, appeals, and value-based care opportunities. Insights on I-SNP partnerships and payment simplification for providers.
Medicare Advantage Growth Spurs Skilled Nursing Care Delays, Calls for Provider Adaptation
Medicare Advantage expansion is linked to care delays in skilled nursing facilities, urging providers to better understand MA protocols for improved patient outcomes.
Skilled Nursing Improper Payments Double Medicare Average; Compliance Vital
2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.
CMS Proposes Nutrition-Focused Quality Measures for Skilled Nursing Facilities
CMS proposes new quality measures emphasizing nutritional health in skilled nursing facilities, highlighting the role of rehab therapies in improving resident outcomes and care quality.