In the few short months we have operated under PDPM BC (Before COVID), we saw the implementation of collaborative, strategic approaches to patient-driven care with subsequent reimbursement that was optimistically effective. Then…COVID, a massive disruption to cohesive anything. As we get a glimmer of our life AC (After COVID), we can … Read More
To Get Ahead of PDPM Audits, Skilled Nursing Facilities Target Top Areas of Payment Focus
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
Voices: Marc Zimmet, Chief Executive Officer, Z-CORE Analytics
You are the CEO of Z-CORE Analytics, and you’ve had a long career beyond this. What are the origins of your work with Z-CORE? I’ve been in the skilled nursing space for almost 30 years, all with a concentration on reimbursement-compliance. When I started my career, Medicare payment was driven … Read More
Despite Hands-Off Approach from CMS, PDPM Pitfalls Remain for Nursing Home Operators, Investors
“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
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