Long-Term Care: HOW THE REVAMPED MEDICARE WILL IMPACT SNFs

Why This Topic Matters

Skilled nursing facilities need to understand how major Medicare legislation can alter payment, coverage, and administrative processes that affect daily operations and reimbursement. This article helps readers assess which parts of the law may matter to their organizations.

Article Sections

1. Therapy caps

   Discusses Medicare therapy coverage and the temporary change to existing limits affecting outpatient therapy services under Part B.

2. Reimbursement for AIDS-related care

   Covers payment changes related to AIDS-related skilled care and the broader context of provider reimbursement for this population.

3. Physician fee schedule

   Summarizes changes to physician fee schedule updates and their relationship to Medicare Part B payment.

4. Drug coverage

   Addresses Medicare prescription drug coverage changes and their potential effect on how medications are provided and paid for in nursing homes.

5. Disease management

   Highlights disease management demonstrations and preventive service coverage as part of the legislation's broader care management provisions.

6. The appeals process

   Explores revisions to Medicare appeals and related administrative review procedures for providers.

7. More 'administrative simplification.'

   Describes structural and administrative changes affecting Medicare contractors and agency oversight requirements.