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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.


Featured Content

SNF Medicare Rate Calculation Tools Update

We have updated the Medicare Part-B rate calculation tool for final rates reflecting provisions of the Bipartisan Budget Act signed into law in December 2013. The law allowed for a 0.5% average increase in Medicare payment rates and extended the 2% sequestration cut for all health care providers for another 2 years. Access to this tool requires login via My.LeadingAge.

Advance Care Planning Codes: What They Mean for Aging Services

On July 8, 2015, the Centers for Medicare and Medicaid Services (CMS) released the CY 2016 Medicare Physician Fee Schedule proposed rule, which activates 2 advance care planning codes (CPT) that can be billed for by physicians or other qualified health professional.

Most Common Mistakes in Financial Budgeting/Forecasting – Part I

In this first article of a three-part series, BKD addresses common mistakes related to complacency in the budgeting process. When preparing your organization’s finances, you should pay special attention to one-time items, incremental and historical budgeting, and the hockey stick effect.

MedPAC Releases Medicare Payment Policy Report to Congress

Learn what the Medicare Payment Advisory Commission (MedPAC) annual report to Congress on Medicare Payment Policy means for skilled nursing facility (SNF) providers.

Final Overpayment Rule Delayed by CMS Until 2016

In a Federal Register notice published on Feb. 17, the Centers for Medicare and Medicaid Services (CMS) announced that it would be delaying until Feb. 16, 2016, publication of a final rule governing the reporting and returning of Medicare overpayments.