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Understanding facility, peer data called crucial to better Medicare Advantage negotiations

Nursing homes have historically had little leverage in negotiations with Medicare Advantage plans, even as MA has come to cover an ever-larger number of skilled nursing beneficiaries. ....

Marc Zimmet , Vincent Fedele , David Asher , Longevity Health Plan , Zimmet Healthcare Services Group , Medicare Advantage , Photo Credit , Fee For Service , Zimmet Healthcare , Longevity Health , Risk Adjustment Factor ,

Fasten your seatbelts: It MIGHT be a bumpy ride

It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best rising to the ....

Amy Greer , Alicia Cantinieri , Health Literacy , Zimmet Healthcare , Melanie Tribe Scott , Patient Driven Payment , Optional State Assessment , Discharge Function Measure , Pressure Ulcers , Move Independently Worsened , Nursing Home Compare ,

Claims audit will affect every nursing home starting June 5

Every US nursing home will be subject to an audit starting June 5 as regulators try to better assess and root out improper payments. ....

Stacy Baker , Alicia Cantinieri , Program For Evaluating Payment Patterns Electronic Report , Zimmet Healthcare Services , Human Services , Centers For Medicare Medicaid Services , Medicaid Services , Medicare Administrative Contractors , Medicare Part , Comprehensive Error Rate Testing , Patient Driven Payment , Zimmet Healthcare , Triple Check , Evaluating Payment Patterns Electronic Report ,