Skilled Nursing News December 5, 2025
Audit activity is expanding in the nursing home sector, with improper payments rising and nursing homes continuing to lead in documentation errors. As a result, the Centers for Medicare and Medicaid Services (CMS) is expecting better documentation quality, as well as timely responses.
A nearly 10% rise in improper payments has intensified CMS’ oversight of nursing homes, according to Alicia Cantinieri, managing director of clinical reimbursement and regulatory compliance for Zimmet Healthcare Services Group.
Operators need to have proactive compliance systems in order to protect reimbursement and reduce denials. To mitigate risk, facilities need to strengthen internal communication, while also improving documentation practices, said Cantinieri, who led a webinar on Thursday, discussing Medicare audits, along with strategy and protection for...
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