At Stotler Hayes, we know that securing payment from private insurance can be an uphill battle – full of red tape, unforeseen barriers, and multiple appeals. Our clients have sought our assistance to tackle these issues, including erroneously denied claims, delays in processing and payment, and pursuing claims the insurance company deems untimely or uncovered. […]
COVID-19 in a Long-Term Care Facility
The CDC has released a report discussing their findings in their investigation of the COVID-19 outbreak at the King County nursing facility. We encourage you to review the report for lessons learned and other findings that can be helpful in reinforcing your current efforts to prevent COVID-19 from impacting your facilities.
Medicaid Fiscal Accountability Regulation Consequences for LTC Could be Dire
Yesterday Centers for Medicare and Medicaid Services Administrator Seema Verma, held a press conference announcing the details of the Medicaid Fiscal Accountability Regulation (MFAR). This proposed rule is intended to increase transparency and would significantly alter state Medicaid program funding and supplemental payment plans for providers. In a recent fact sheet the American Hospital Association(AHA) […]
Massachusetts Imposes Restrictions on Medicaid Appeals for Deceased Applicants
Late last week, MassHealth implemented significant changes to its regulations on filing and pursuing an appeal for a Medicaid applicant who has passed away. The changes, impacting both providers and applicant’s families, place a number of hurtles in the appeal process and pave the way for MassHealth to dismiss previously proper appeals. The Board of […]
SHG Submits Comment on CMS’s Patients Over Paperwork Initiative
In June, CMS published a Request for Information soliciting public comments on ideas for regulatory, policy, practice, and procedural changes to reduce unnecessary administrative burdens for clinicians, providers, and patients pursuant to CMS’ Patients over Paperwork initiative. SHG worked with one of the nation’s largest long-term care providers to submit extensive comments addressing many administrative burdens placed […]
