Skilled Nursing Facility | Post-Acute Advisor

MedPAC’s June report is in: Summary here

June 20, 2017 June 20, 2017

The Medicare Payment Advisory Commission (MedPAC) published their June Report to the Congress: Medicare and the Health Care Delivery System, in which they evaluate several …

News, Skilled Nursing Facility

Mark next SNF/LTC Open Door Forum on your calendar

June 19, 2017 June 19, 2017

The next CMS SNF/LTC Open Door Forum (ODF) is scheduled for Thursday, June 22, 2:00pm – 3:00pm ET, to discuss the advanced notice of proposed …

Home Health, News, Skilled Nursing Facility

5 ways for healthcare providers to get ready for new Medicare cards

June 16, 2017 June 16, 2017

Medicare is taking steps to remove Social Security numbers from Medicare cards. Through this initiative the Centers for Medicare & Medicaid Services (CMS) will prevent …

News, Skilled Nursing Facility

CMS to conduct pilot audit process for PBJ

June 15, 2017 June 15, 2017

CMS has announced in a letter addressed to skilled nursing facility administration that their PBJ staffing audit team will begin conducting audits of PBJ data …

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CMS cutting-edge technology identifies & prevents $820 million in improper Medicare payments in first three years

July 22, 2015

After three years of operations, the Centers for Medicare & Medicaid Services (CMS) reported that the agency’s advanced analytics system, called the Fraud Prevention System, identified or prevented $820 million in inappropriate payments in the program’s first three years. The Fraud Prevention System uses predictive analytics to identify troublesome billing patterns and outlier claims for action, similar to systems used by credit card companies. The Fraud Prevention System identified or prevented $454 million in Calendar Year 2014 alone, a 10 to 1 return on investment. Continue reading...