As the nation reels from the heartbreaking COVID-19 pandemic, scrutiny of Skilled Nursing Facilities and Long-Term Care facilities is all but certain to continue. Industry leaders and recent data suggests providers anticipate enhanced oversight from... Read More
With the onset of the pandemic and the flood of claims submitted by providers to government payors in connection with it – such as claims for COVID testing or upwardly (risk) adjusted PMPM capitation payments – comes substantial risk for the... Read More
The pandemic took a toll on nursing homes and long-term care facilities. The industry is being subjected to heighten scrutiny after the COVID-19 pandemic exposed, among other things, some of the problems with long-term care resources. News... Read More
On December 27, 2020, Congress enacted, and the President signed, H.R. 3630, the Surprise Act (“Act”), which will take effect on January 1, 2022. This Act expands restrictions on charging health care plan holders out-of-network rates for certain... Read More
