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Nursing Home Payment and Finance

We advocate for Medicare and Medicaid payment systems for nursing homes that will appropriately account for essential costs of high quality care. We work with the Centers for Medicare and Medicaid Services (CMS) to obtain the most up-to-date information on payment policies and updates.


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MedPAC Considers Allowing Hospitals to Recommend Post-Acute Care Providers

At a recent meeting, the Medicare Payment Advisory Commission (MedPAC) discussed proposals to allow hospitals to recommend post-acute care providers to Medicare beneficiaries on discharge. Current law does not permit this kind of recommendation. The commission did not reach a conclusion on any changes in current policy. However, this discussion shows why it is important for nursing homes and other post-acute care providers to focus on quality measure performance and the development of relationships with hospitals and physician organizations.

MedPAC Considers Giving Hospitals Flexibility in Steering Patients to Post-Acute Care Providers

On Friday October 10th, the Medicare Payment Advisory Commission (MedPAC) held a session titled "Private Sector Initiatives to Manage Post-Acute Care," to discuss how certain providers select post-acute care settings to use and how they manage the care a beneficiary receives within the setting selected.

Changes to Chronic Care Management Codes Proposed by CMS

On July 11, the Centers for Medicare and Medicaid Services (CMS) released the physician fee schedule proposed rule, which includes provisions relating to implementation of separate payment for chronic care management (CCM) services.

SNF Payment Rate Updated for FY 2015

Payment rates used under the skilled nursing facility (SNF) prospective payment system (PPS) for fiscal year (FY) 2015 were updated on Aug. 5 in a final rule issued by the Centers for Medicare and Medicaid Services (CMS). 

ICD-10 Compliance Date Delayed Until 2015

Oct. 1, 2015, is the new ICD-10 compliance date for providers, according to a final rule issued July 31 by the U.S. Department of Health and Human Services (HHS).