After much hype, trepidation and, for some providers, feverish planning, the Patient Driven Payment Model (PDPM) took effect in October. There has been much speculation about how the new system, ...
Nursing homes have forced Medicare to realign its spending on patients with higher medical complexity, including those with a primary diagnosis of congestive heart failure, Alzheimer’s disease and ...
2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...
While the April 2026 ICD-10-CM update may appear to be a routine annual refresh, it introduces significant structural shifts in coding logic that directly affect MDS 3.0 assessments and PDPM payment ...
Coding intensity and Medicare expenditures increased at skilled-nursing facilities after the implementation of the Patient Driven Payment Model in October 2019, according to a study published July 21 ...
- CMS estimates its proposal will result in a decrease of $320 million in Medicare Part A payments to skilled nursing facilities. - CMS is seeking stakeholder input ...
On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) released the FY 2023 Medicare Proposed Rule for Skilled Nursing Facilities (SNFs). Key policy ...
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