Image via WikipediaBy PAULA SPAN
The way Medicare pays, and overpays, for nursing home care has been the subject of investigations, calls for reform and general hand-wringing for years. And here it all comes again, but with a new twist.
Facilities operated for profit are far more likely to classify patients as needing the highest levels of care, and therefore to collect the biggest payments from Medicare, than nonprofits, according to a recent report by the inspector general’s office of the Department of Health and Human Services. Tellingly titled “Questionable Billing by Skilled Nursing Facilities,” the government study looked into how often nursing homes seek reimbursement for the costliest levels of care and found a huge increase in just two years.
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