Medicare claims (UB-04s) are an invaluable source of SNF data. CMS releases quarterly “LDS” claim files which allow for Medicare utilization and market analysis. Third-party vendors offer useful tools that quantify referral patterns and performance metrics, but the data falls short in two critical ways. The first is timeliness; healthcare … Read More

With Medicare Advantage revenue “significantly lower” than fee-for-service reimbursement, a new Zimmet Healthcare Services Group analysis says, skilled nursing facilities need to weather today’s “reimbursement storm” in order to make it to the incoming wave of baby boomers that will need facility services. In the meantime, Zimmet suggests operators utilize … Read More

It is a New World Mariner, And he stoppeth wounded knee, With long grey beard and rehab needs, Now wherefore stopp’st thou he? Data, data everywhere, Still all our rates did shrink, Data, data everywhere, Yet all of it doth stink. Oh Fee-for-Service Medicare, How little hath we seen, Advantage … Read More