Articles and Blogs

On June 5, 2023, the Centers for Medicare & Medicaid Services (“CMS”) implemented a national skilled nursing facility (“SNF”) probe and educate program (“SNF P&E Program”). The SNF P&E Program is designed to reduce improper payments by identifying SNFs with high improper payment rates. Recently, CMS’s Comprehensive Error Rate Testing program projected an improper payment... READ MORE

On April 8, 2021, the Centers for Medicare & Medicaid Services (“CMS”) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility (“SNF”) prospective payment system (“PPS”) for fiscal year (“FY”) 2022 (the “Proposed Rule”). In addition, the Proposed Rule includes proposals for... READ MORE

Reimbursement under the new Patient Driven Payment Model, staff background checks, infection control programs, facility-initiated transfer or discharge of a resident and the use of psychotropic drugs are several new skilled nursing facility (“SNF”) areas of audit and focus of Department of Health and Human Services Office of Inspector General (“OIG”). OIG publishes updates... READ MORE

With the October 1, 2019 beginning date now past for Patient Driven Payment Model (“PDPM”), the new skilled nursing case-mix classification mode under the Skilled Nursing Facility Prospective Payment System (“SNF PPS”) for classifying SNF patients in a covered Medicare Part A stay, providers need to consider several key legal and compliance program considerations... READ MORE