July 2018

Expert hopes PDPM will end False Claims cases like the one that cost SNFs millions on Wednesday

A model that is not based on volume and that measures patient outcomes. “One key provider advocate is expressing optimism that a pending new payment system will spare operators from therapy upcoding lawsuits like the one settled for $10 million Wednesday. Implementation of the Patient-Driven Payment Model will reward valueContinue Reading

The hope: New skilled nursing payment model still a work in progress

In: Healthcare, Media

AHCA’s five main concerns and hopes/wish list in brief, they are: 1) Getting broader admission (read: reimbursement) categorizations than those in the ICD-10 coding system, 2) a longer window to make modifications to initial MDS assessments, which under the new system could easily stick a provider/beneficiary with too little orContinue Reading