A well-managed swing bed program is essential to a critical access hospital. This program can improve patient outcomes and provide additional reimbursement opportunities creating a “win-win” for the patient and […]
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Managed Long Term Services and Supports (mLTSS) refers to the delivery of long-term services and supports through Medicaid managed care programs. mLTSS’s strategy is to expand home and community-based services, […]
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It has been a month since regulation for the Centers for Medicare and Medicaid Services (CMS) Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) rates went […]
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On July 7, 2022 the Center for Medicare and Medicaid Services (CMS) released the updated Nursing Home Five-Star Quality Rating Technical Users’ Guide with the methodology for the changes to […]
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It is that time of year again! The Center for Medicare and Medicaid Services (CMS) has issued the proposed rule that would update Medicare payment policies and rates for the […]
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On January 14, 2022, Centers for Medicare & Medicaid Services updated the Technical Users’ Guide for the Care Compare Nursing Home Five-Star Quality Rating System. While this information will be […]
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President Biden’s administration recently announced its Path Out of the Pandemic action plan which included specific guidance around a COVID-19 vaccine mandate. The action plan calls for employers with 100 […]
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Last week there were two new rules issued by the Biden administration regarding vaccine mandates. The Center for Medicare and Medicaid Services (CMS) released an interim final rule (IFR), along […]
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New HCPCS codes related to consolidated billing for Skilled Nursing Facilities goes into effect, Oct. 1, 2021. CMS states that this will impact any SNF that “bill Medicare Administrative Contractors […]
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Last week the Center for Medicare Services (CMS) posted an interim final rule and Memo QS0-21-19-NH for infection control requirements for long-term care. These regulations go into effect on May […]
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By Jonah Gjertson, Senior Consultant at Blue & Co. Preparing to sell your business is a complicated, emotional, and logistically challenging decision with material financial implications. There are many decisions […]
For hospitals that would like to withdraw an approved Geographic Reclassification, the publishing of the FY 2027 proposed rule starts the 45-day window for withdrawing approved Medicare Geographic Classification Review […]
The 340B Drug Pricing Program is more than a pharmacy benefit; it is a lifeline for vulnerable communities and patients. However, as federal scrutiny and manufacturer challenges intensify, maintaining program […]
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