The Centers for Medicare & Medicaid Services (CMS) has finalized updates to MDS 3.0 technical specifications, item sets, and the RAI User’s Manual for FY2026, effective October 1, 2025. These include ...

Nursing homes have forced Medicare to realign its spending on patients with higher medical complexity, including those with a primary diagnosis of congestive heart failure, Alzheimer’s disease and ...

Skilled nursing operators are anxiously awaiting next steps from the Office of Inspector General after the federal watchdog found a provider had grossly misused the relatively new PDPM payment system.

2025 SEP 17 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News-- Investigators publish new report on Managed Care. According to news reporting out of Providence, Rhode Island, by ...

On August 4, 2025, CMS issued a final rule (Final Rule) updating payment rates, policies, and quality programs for Skilled Nursing Facilities (SNFs) under the Medicare Prospective Payment System (SNF ...

Tech-enabled service helps skilled nursing facilities fulfill CMS’ MDS updates linked to reimbursement, ensuring high-quality care and optimizing PDPM payments Our solution augments teams and ...

On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) released the FY 2023 Medicare Proposed Rule for Skilled Nursing Facilities (SNFs). Key policy ...