Starting Oct. 1, per diem payments to skilled nursing facilities (SNFs) will be more generous on the first few days of a Medicare beneficiary’s stay, and then drop as the stay continues. That’s one of ...
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 ...
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 ...
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 ...
In 2026, skilled nursing facilities face significant operational changes driven by CMS’s updated billing rules and the integration of AI-powered tools. New payment rates, coding updates, and quality ...
CMS's latest updates for Skilled Nursing Facilities combine higher payment rates with expanded quality reporting and a new audit program verifying care data accuracy. The rule recalibrates PDPM rates, ...