McKnight's May 9, 2022
Danielle Brown

Skilled nursing providers should be prepared for the federal government to move forward with planned reductions in reimbursements rates, even as they await a final decision on the recommendation, according to a top payment expert.

“I think providers should also take this opportunity to prepare for the worst … hope for the best and prepare for the worst,” Robin Hillier, a reimbursement expert and president of RLH Consulting, recently told McKnight’s Long-Term Care News.

The Centers for Medicare & Medicaid Services in early April announced plans to lower nursing home Patient Driven Payment Model (PDPM) rates by 4.6% — a $1.7 billion decrease — to account for unintentional overpayments.

The agency in April2021 originally announced that it...

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