Despite Hands-Off Approach from CMS, PDPM Pitfalls Remain for Nursing Home Operators, Investors

Ken BellCORE AnalyticsLeave a Comment

“What’s the potential compliance target from a third-party auditor? It’s anything that makes your rate higher, and anything that you’re an outlier in,” Vincent Fedele, chief operating officer at CORE Analytics, said Tuesday during SNN’s virtual Payments, Policy, and Capital Summit. Click here to read the entire article

More than half of nursing homes missing out on PDPM, could lead to deals: expert

Ken BellCORE AnalyticsLeave a Comment

The federal government’s second-year Medicare payment system for nursing homes continues to be a boon for them, especially under pandemic conditions, but more than half are missing rightful reimbursements. Such conditions may make 2021 a particularly good time for investors to go into acquisition mode. Those are some of the … Read More

PDPM Provides $200/Day Medicare Boost to Nursing Homes During COVID: ‘It Arrived Just in Time’

Ken BellCORE AnalyticsLeave a Comment

When the overhaul of Medicare Part A reimbursement for nursing homes took effect in October 2019, predictions of audits and the potential for drastic changes came close on its heels. After all, the Patient-Driven Payment Model (PDPM) was meant to be revenue-neutral, meaning that the Centers for Medicare & Medicaid … Read More

Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) claims

Mary MadisonIndustry, Secure NewsLeave a Comment

MLN Matters Number: MM11992 was posted November 6, 2020 with same title as this blog. This MLN Matters Article is for Skilled Nursing Facilities (SNFs) and hospital swing bed providers billing Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.  This article informs you of an update to SNF Patient-Driven … Read More