Senate committee to reintroduce bill targeting Medicare audits, appeals
By
Mar 30, 2017
A bill aimed at expediting the Medicare appeals process is expected to be reintroduced in the coming months, according to one healthcare insider.
CMS finalizes bundled payment model for hip, knee replacements
By
Nov 18, 2015
The Centers for Medicare & Medicaid Services has released its final bundled payment model for hip and knee replacement surgeries, which includes plans to waive the three-day stay rule for beneficiaries...
Provider claims victory in ‘blockbuster’ battle with state regulators
By
Marty Stempniak
Oct 26, 2018
A Maryland skilled care provider has settled a long-running court dispute with state officials, agreeing to halt operations and pay back a small portion of what state regulators had originally sought.
Lawsuit over observation status, SNF payment finally going to trial
By
Marty Stempniak
Mar 29, 2019
A years-long court battle over one of the biggest thorns in skilled nursing’s side may finally be going to trial, and the outcome could have big implications for providers and patients.
First bankruptcy, now Senior Care properties put on Sabra chopping block for $385M
By
Marty Stempniak
Dec 07, 2018
Sabra Health Care is finalizing a deal to sell the properties occupied by its largest operator, which filed for bankruptcy earlier this week.
CMS fails to measure outcomes of the zone program integrity contractor program: government report
By
Tim Mullaney
Nov 26, 2013
The Centers for Medicare & Medicaid Services is not thoroughly assessing how well zone program integrity contractors are contributing to Medicare anti-fraud efforts, according to a new report from the...
A tradition gets updated
By
Dave Surico
Oct 01, 2014
Hannah B.G. Shaw Home for the Aged gets with the times by expanding the rural site that once was the Shaw home.
AHCA chief Parkinson: This is our ‘toughest time,’ offers tips to turn the tide
By
Marty Stempniak
Oct 09, 2018
SAN DIEGO — The head of the largest long-term and senior care trade group didn’t sugarcoat the current state of affairs Monday. In his 25 years in the field, this might be the most challenging climate...
Obama sending mixed message on Medicare prescription prices
Apr 30, 2015
Prescription drug prices are likely to resurface as a hot political potato in the looming presidential race, beginning with the president’s recent bombshell that he wants to let Medicare bargain...
RAC groups battle provider plea for short-stay payment relief
By
John Hall
Feb 19, 2015
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...