From the Compliance Desk - 6/22/16

MedPac Pushees a Unified Post-Acute Payment System

Provider | June 16, 2016

In its annual report to Congress the Medicare Payment Advisory Commission (MedPac) advances it recommendations for a unified cross-setting post-acute care (U-PAC) payment system. Read more

Bundled Payment Networks

Executive Insight |May 23, 2016

Not everyone is excited about bundled payments. Hospital system, provider networks and medical professional groups said in comments on the proposed rile mandating bundled payments for comprehensive joint repair (CJR) that they needed more time to figure out how to coordinate the care and payments. Read more

Supreme Court Decision May Result In More False Claims Cases Against Providers

Provider |June 17, 2016

The U.S. Supreme Court has issued a unanimous decision in an implied certification case that could have far-reaching consequences for skilled nursing care providers. Read more

AHCA: Unified payment plan ‘viable but 3-day stay part needs work

McKnight’s | June 16, 2016

Recommendations to Congress concerning a unified, site-neutral payment system for post-acute care are viable, a leading provider group. Read more

PAs help providers address satisfaction and performance metrics

McKnight’s | June 17, 2016

The statistics are troubling. Each year, according to the Centers for Medicare & Medicaid Services, in many states, about 25% of patients admitted to a skilled nursing facility from a hospital are readmitted within 30 days. Read more

Learning to operate under the value based payment model

Long-Term Living Magazine | June 14, 2016

For nursing homes, learning to operate under a new payment model is challenging after existing in the fee-for-service sphere for so long. Read more

CMS proposed tightening Medicaid improper payment program

McKnight’s | June 20, 2016

The program that measures Medicaid improper payments and eligibility could be getting tougher in the future under a new rule proposed by the Centers for Medicare and Mediccaid Services. Read more

Leveraging Data for Risk-Adjusting Bundled Payments

Advanced Healthcare Network | June 20, 2016

Until very recently, bundled payments were a strictly voluntary alternative payment model (APM). But as of April 1, the Centers for Medicare and Medicaid Services (CMS) declared that participation in bundled payments for hip and knee replacement procedures is mandatory for approximately 800 hospitals under Medicare’s Comprehensive Care for Joint Replacement (CJR) reimbursement model Read more

CMS Offers Help With New Staffing Data Requirement

Provider | June 21, 2016

When families come together to make the important and often difficult decision of moving a loved one to a nursing home, they want the peace of mind that their family member is getting the best care they need to stay healthy. That includes knowing that the facility has sufficient highly trained staff to devote to all residents. Read more