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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

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.

Medicare Advantage: Implications for Long-Term Service and Support Providers

The Centers for Medicare and Medicaid Services (CMS) released final program changes for Medicare Advantage (MA) Part C and Part D. 

2015 Part B Therapy Payment Calculator Update

LeadingAge's Part B Therapy Rate Calculation Tool has been revised to reflect changes made in the final rule. This tool automatically calculates your facility's Medicare Reimbursement for CY 2015 rates, effective Jan. 29, 2015.

Skilled Nursing Facility: MedPAC Releases New Report on Medicare Payment Reform

Last week, the Medicare Payment Advisory Commission (MedPAC) and the Urban Institute jointly released a report titled, ”The Need to Reform Medicare’s Payment to Skilled Nursing Facilities is as Strong as Ever.” With well-documented shortcomings in the current design of the skilled nursing facility payment system, this report studied the relationship between SNF payments and costs over time to assess whether changes the Centers for Medicare and Medicaid Services (CMS) have made over time have improved accuracy to the payment system.

MedPAC Votes on Site Neutral Recommendation at January Meeting

During its January meeting, members of the Medicare Payment Advisory Commission (MedPAC) voted on a recommendation for site neutral payments between inpatient rehabilitation facilities (IRF) and skilled nursing facilities (SNF), and a recommendation on hospice payments.