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
URGENT: U.S. hospitals targeted in rising wave of ransomware attacks
A joint advisory by the Cybersecurity and Infrastructure Security Agency, the Department of Health and Human Services and the FBI says there is “credible information of an increased and imminent cybercrime threat” to U.S. hospitals and health care providers. [Author’s Note: There are already several hospitals/hospital systems throughout the country that … Read More
Look out for falling stars! CMS just moved the target for Five-Star QMs again
It’s been less than three years since our “Falling Stars” blog post announced that CMS Five-Star ratings were dropping industry-wide. Get ready — it’s about to happen again and at a larger scale. Read on to learn what CMS just changed and how you can take proactive measures to maximize … Read More
[Webinar recording] Medicare Audits Decoded: Strategy and Protection for SNF Claims and Compliance
Download webinar slidesMedicare audits are evolving — and so are the contractors behind them. Skilled Nursing Facilities are now facing reviews from multiple entities, each with its own focus, process, and documentation demands. From RACs to UPICs, SMRCS, MACS, and the OIG, knowing who’s behind each audit is essential to … Read More
[Recording access] Medicare Audits Decoded: Strategy and Protection for SNF Claims and Compliance
ON-DEMAND WEBINAR: Medicare Audits Decoded: Strategy and Protection for SNF Claims and ComplianceMedicare audits are evolving — and so are the contractors behind them. Skilled Nursing Facilities are now facing reviews from multiple entities, each with its own focus, process, and documentation demands. From RACs to UPICs, SMRCS, MACS, and … Read More