Senior Living Health Care

COVID-19-related payment info

This issue outlines the various funding sources for COVID-19-impacted senior living providers, along with related payment requirements.

AICPA issues TQAs for entities

The AICPA has issued additional technical questions and answers for health care entities related to leasing and CARES Act provisions.

Senior Living Health Care Connection: New PDPM case mix (part 3)

Learn about the new patient-driven payment model case mix for skilled nursing facilities, including nontherapy ancillaries.

Senior Living Health Care: Connection Medicare and quality programs

Learn about CMS’ final rule for skilled nursing facilities, including Medicare payment rates and quality programs.

Senior Living Health Care Connection: New PDPM case mix (part 2)

Learn about the new patient-driven payment model case mix, including nursing components, recently released by CMS.

Senior Living Health Care Connection: New PDPM case mix (part 1)

Learn about the new patient-driven payment model case mix, including therapy components, recently released by CMS.

Senior Living Health Care Connection: Part B changes for 2019

Part B fee schedules for 2019 received a 0.1 percent increase and have been in place since Jan. 1, 2019. Learn more.

Senior Living Connection: Another value-based purchasing update

Skilled nursing facilities’ Medicare fee-for-service payments must reflect the rate adjustments due to value-based purchasing. Learn more.

Senior Living Health Care Connection: New quality reporting measures

Learn about the quality reporting program measures released by Centers for Medicare and Medicaid Services for skilled nursing facilities.

Senior Living Health Care Connection: Home office cost requirements

Home office cost statement requirements will be enforced by the Centers for Medicare & Medicaid Services. Learn more.

Senior Living Health Care Connection: Final Medicare payment rule

The Medicare payment rule for 2019 was finalized for skilled nursing facilities and prospective payment systems. Learn more.

Senior Living Health Care Connection: Minimum data set changes

Learn about the new minimum data set changes for skilled nursing facilities. Making these key updates will affect future reimbursement.

Senior Living Health Care Connection: PPS and consolidated billing

Get insights on prospective payment system, case-mix payment methodology and consolidated billing changes for skilled nursing facilities.

Senior Living Health Care Connection: Beneficiary notices clarified

Get clarification on the new Centers for Medicare and Medicaid Services’ skilled nursing facility advance beneficiary notice. Learn more.

Senior Living Health Care Connection: New Patient-Driven Payment Model

It’s expected the new patient-driven payment model will be more closely aligned with skilled nursing facilities’ quality reporting systems.

Senior Living Health Care Connection: Value-based purchasing update

The skilled nursing facility value-based purchasing program started fiscal year 2018. Learn important program payment dates and more.

Senior Living Health Care Connection: New Medicare cards

In April, the Centers for Medicare & Medicaid Services will phase in new Medicare cards using randomly assigned numbers. Learn more.

Senior Living Health Care Connection: TPE program update

Centers for Medicare & Medicaid Services moves forward with the targeted probe and educate program to reduce claims denials and appeals.

Senior Living Health Care Connection: Part B therapy caps repealed

The therapy cap on Medicare Part B therapy services has been repealed. Learn what this means for your skilled nursing facility.

Senior Living Health Care Connection: Part B therapy alert

Due to developing guidance, Part B therapy providers should closely monitor the amount of therapy furnished, beginning with services.

Senior Living Health Care Connection: New survey process need-to-know

Long term care providers must implement a new survey process launched on Nov. 28. Learn about the need for baseline care plans and more.

Senior Living Health Care Connection: 2018 PPS rates correction

The Centers for Medicare and Medicaid Services published a correction updating skilled nursing facilities’ prospective payment system rates.

Senior Living Health Care Connection: Payroll-based journal alert

Information collected through the payroll-based journal system provides regular analysis of staffing patterns in nursing facilities.

Senior Living Health Care Connection: Prepare for ROP phase 2

Learn about key changes involved in the phase 2 implementation of the requirements for participation in Medicare and Medicaid programs.

Senior Living Health Care Connection: New Medicare cards coming

In an effort to increase security, the Centers for Medicare and Medicaid Services will issue new Medicare cards. Learn more.

Senior Living Health Care Connection: SNFs may get 2 percent cut

SNFs determined to be noncompliant with quality reporting program requirements may be subject to a 2 percent payment reduction. Learn more.

Senior Living Health Care Connection: Proposed final rule for SNFs

The Centers for Medicare and Medicaid Services has published the proposed final rule for skilled nursing facilities. Learn more.

Senior Living Health Care Connection: Payroll-based staffing reminder

Providers have until May 15 to submit staffing data for the quarter. Submit early to avoid delays due to errors or needed corrections.

Senior Living Health Care Connection: ADRs' effect on SNFs

Learn about the growing number of additional development requests (ADRs) that are affecting skilled nursing facilities (SNFs).

Senior Living Health Care Connection: 2017 therapy code changes

Learn about physical and occupational therapy code changes for 2017 affecting senior living and long-term care facilities.

Senior Living Health Care Connection: Ready for Oct. 1 changes?

Learn about the regulatory compliance changes that long-term care facilities will be responsible for, starting Oct 1, 2016 and beyond.

Senior Living Health Care Connection: New CMS quality measures

Learn about the six factors that the Centers for Medicare & Medicaid Services uses to calculate Five-Star Quality Ratings for nursing homes.

Senior Living Health Care Connection: FY17 SNF PPS proposed rule

On April 25, 2016, the CMS issued its proposed rule regarding fiscal year 2017 Medicare payment rates for SNFs, effective Oct. 1, 2016.

Senior Living Health Care Connection: PEPPER update

Learn how the Program for Evaluating Payment Patterns Electronic Report (PEPPER) affects your skilled nursing facility.

Senior Living Health Care Connection: Public use file

Learn about the Skilled Nursing Facility Utilization and Payment Public Use File and its impact on your organization.

Senior Living Health Care Connection: Billing trends alert

Skilled nursing facilities are cautioned to accurately report and bill therapy services, especially when therapy changes.

Senior Living Health Care Connection: Quality Reporting program

Read on to learn about the IMPACT Act's Quality Reporting measurements and they affect skilled nursing facilities.

Senior Living Health Care Connection: Value based purchasing

Skilled nursing facilities: Learn about the new Value-Based Purchasing program and its impact on skilled nursing facility payments.

Senior Living Health Care Connection: Staffing data collection alert

Stay compliant with ACA Section 6106. Learn best practices for submitting staffing data to the Centers for Medicare & Medicaid Services.

RSM’s Senior Living Health Care Connection: Prepared for ICD-10?

Health care organizations: Have you taken the steps to ensure a smooth transition to ICD-10? The October deadline is looming.

RSM's Senior Living Health Care Connection: Consolidated billing

Consolidated billing continues to concern nursing facilities. Learn what SNFs should do to ensure appropriate payment to outside providers.

RSM’s Senior Living Health Care Connection: ICD 10 is coming

With the approaching deadline of October 1, 2015, facilities are reminded to prepare for their ICD 10 transition.

Welcome to RSM’s Senior Living Health Care Connection

RSM’s Senior Living Health Care Connection provides the latest compliance and reporting news related to the long-term care industry.