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Medicare

CMS evaluating outcomes-based reimbursement strategies for COVID-19 tests

The Centers for Medicare & Medicaid Services is investigating a new outcomes-based reimbursement strategy for COVID-19 tests, according to an InsideHealthPolicy report. CMS Administrator Seema Verma said at an America’s Health Insurance Plans’ conference Tuesday that the organization has plans to move quickly on policy changes affecting reimbursement.

stethoscope money

CMS releases guidance for SNFs on increasing Medicaid reimbursement rates amid pandemic

The Centers for Medicare & Medicaid Services released a Medicaid informational bulletin Monday providing guidance to states on how they can help increase Medicaid reimbursement for skilled nursing facilities in an effort to mitigate the further spread of COVID-10 within these facilities. The guidance focuses on the implementation of specific infection control practices, such as designating a quarantine or isolation wing for COVID-19 patients.

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Nursing homes previously sued for Medicare fraud received hundreds of millions in coronavirus relief funds: Washington Post

For-profit nursing home operators that have faced accusations of Medicare fraud and kickbacks in recent years received more than $300 million in coronavirus relief payments, according to a Washington Post analysis released Tuesday. The allegations include putting elderly residents into unnecessary therapy services and delaying patients’ release to reap higher Medicare payments.

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