CMS has posted a new article about their new oversight initiatives for SNFs. Registered nurse staffing is being heavily scrutinized with CMS relying on a payroll-based journal reporting tool. It …
From the RELI Group: “PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data …
A new DRAFT version of the MDS 3.0 Item Set Change History for October 2020 (v1.18.0) was posted. This document reflects the changes in the DRAFT version of the 2020 …
From Modern Healthcare: “A proposal to ramp up reporting requirements is threatening one of skilled nursing operators’ most significant revenue streams and could dent profitability, analysts said.” “CMS’ proposed new rule would …
Massachusetts CHIA has released their first ever report on the Nursing Facility Industry in Massachusetts. CHIA’s initial report examines the Commonwealth’s nursing facilities at an industry level, as well as …
OIG conducted unannounced site visits at select nursing homes in California from September to December 2018 to check for life safety violations and review the nursing homes’ emergency preparedness. OIG found …
In a recent report, the Office of Inspector General (OIG) determined that Medicare improperly paid for Skilled Nursing Facility (SNF) services when the Medicare 3-Day inpatient hospital stay requirement was not …
Today, CMS released their proposed Medicaid Fiscal Accountability Rule (MFAR), which works to ensure transparency in Medicaid payments and clamp down on impermissible financing arrangements. From CMS’ Press Release: “States …
CMS is holding a number of claims from SNFs as they continue to refine their payment systems for PDPM. See the following from CMS’ Medicare Learning Network (MLN): “CMS is …
OIG has published an interactive map that displays details on nursing home complaint trends in 2018. 6,540 high-priority grievances that were not investigated within the required 10-day period, which equals a 23% increase. …
