In a recent meeting NYSHFA’s General Counsel Neil Murray and I had with leaders from the Office of the Medicaid Inspector General (OMIG), OMIG acknowledged that recent Draft Audit Reports issued to nursing homes by OMIG and/or its audit contractor, Performant, included erroneous disallowances of claims related to the application of the “net available monthly income” (NAMI) deduction ...
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Reminder! The
Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual Version v18.0 is available along with associated files.
Updates included a re-specification of the Percent of Residents who Received an Antipsychotic Medication (Long Stay) Measure ...
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The countdown is officially on! We are just one week away from one of the most exciting milestones of the year. On July 9, AHCA/NCAL will officially announce the
2026 Silver National Quality Award winners! This incredible honor recognizes skilled nursing facilities and assisted living communities that have shown an outstanding dedication to continuous quality improvement and rigorous performance standards ...
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Four additional CMS skilled nursing facility value-based purchasing (SNF VBP) measures took effect October 1, 2024 and will determine Medicare Part A rates
beginning October 1, 2026. These measures are in addition to the four measures already in place that impacted rates as of October 1, 2025 ...
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As managed care continues to expand, providers in skilled nursing and post-acute settings face growing pressure to deliver high-quality care within increasingly compressed timeframes. Shortened lengths of stay, early discharges, and tighter reimbursement structures can ...
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Recent Medicare Advantage (MA) rule changes have introduced critical tools to help skilled nursing facilities (SNFs) better manage claims denials and early termination of services. The Calendar Year (CY) 2024 Final Rule brought ...
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