A new MLN Matters Article MM11347 on Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2020 is available. Learn updates to payment rates beginning October 1.
The state of New York is proposing a change in the way it calculates the case mix that sets Medicaid reimbursements for skilled nursing facilities — with the goal of realizing $246 million in net savings.
When trying to understand something complex, it sometimes helps to use food as a metaphor. Under the Patient-Driven Payment Model (PDPM), therapy becomes a piece of the pie, rather than the whole thing. For providers considering ways to minimize therapy services or reduce therapy staffing, a few additional considerations should be looked at before making any cuts.
Skilled nursing facilities (SNF) are not new, and yet there are often limited sessions at healthcare conferences that focus on the challenges that these organizations face. Education for the business office can be particularly difficult to find, but its members often wear multiple hats and serve as the last line of defense before a claim is submitted. The many tasks completed by billers and business office managers have reverberating effects on reimbursement, including the complicated and complex process of completing cost reports.