Reimbursement

CMS’ PDPM May Impact Clinical Protocols

Changes to Medicare reimbursements may affect your facility’s workflow.

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CMS raises reimbursement by 1%, pushes VBP

With the Value-Based Purchasing program due to begin in 2019, CMS is pushing SNFs to get on board with performance baselines now.

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PointClickCare, ABILITY Network partner on claims management

The tech companies will integrate software so providers can create, access and manage claims within the electronic health record. 

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House passes AHCA bill by 4 votes

The promise of $8 billion for high-risk and pre-existing conditions pushed the bill in the GOP's favor. The bill now moves on to the Senate, where the margins for passage are predicted to be tougher.

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CMS funds nursing home for prisoners

A Connecticut nursing home will receive federal funding to help pay for and provide care to the state’s aging inmates. 

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Mass. proposes increased LTC funding

State legislators are rallying behind bills to increase wages for nursing home workers and Medicaid reimbursement levels for nursing homes and rehabilitation facilities. 

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Re-examining CMS’ 5-star rating system

A new GAO report highlights why experts say the next addition to the Nursing Home Compare five-star ratings should be customer service.

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The best of 2016

CMS mandates, dementia care strategies, cross-team collaboration and ageism culture change—We checked our web visits and social media stats to see which in-depth articles were the most popular among our readers in 2016. Did you miss any of these?

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CMS issues final rule for cardiac bundled payments

CMS released its latest episodic care models Tuesday, including the 90-day bundles for heart and bypass patients.

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CMS to test new ACO model for dual-eligibles

The pilot will let accountable care organizations manage the Medicaid claims for beneficiaries who receive both Medicare and Medicaid benefits.

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