Providers ‘on notice’ as CMS pressures states to shift Medicaid pay metrics

Ken BellLTC News

McKnights (11/10/2022) – Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to determine long-stay Medicaid pay rates.

That was the warning Wednesday from reimbursement experts Vincent Fedele, chief operating officer of CORE Analytics, and Michael Sciacca, chief operating officer at Zimmet Healthcare Services Group. Full story »