CMS considered prohibiting binding arbitration entirely, seeks comments
By
Jul 21, 2015
Facilities that present binding arbitration agreements to residents must ensure the residents fully understand the agreement, according to a proposed rule from the Centers for Medicare & Medicaid Services.
Former FL ombudsman files suit against providers, state
By
Elizabeth Newman
Oct 01, 2011
A high-profile ousted Florida ombudsman has filed a lawsuit against the Florida Department of Elder Affairs, the Florida Health Care Association and the Florida Assisted Living Association for alleged...
GAO highlights obstacles, benefits of nursing home temporary management sanctions
Dec 22, 2009
Temporary management sanctions for troubled nursing homes can be an effective approach to improving quality in the short term, but more should be done to provide guidance for implementing the sanctions,...
Ask the payment expert: highlighting changes to the new RUGs IV system
Not all pilot programs save money — this one will cost a provider $8M extra
By
Marty Stempniak
Mar 11, 2019
A Texas physicians group must pay the federal government $8 million after a program to decrease costs for Medicare beneficiaries did the opposite, a judge ruled recently.
Nursing home that repeatedly hung up on deaf woman ordered to pay up, train staff
By
Marty Stempniak
Dec 06, 2018
A New Jersey nursing home could be on the hook for more than $12,000 in penalties after one of its workers repeatedly hung up on a deaf social worker.
CMS strengthens decentralization push, gives states more Medicaid authority
By
Marty Stempniak
Aug 20, 2018
Aiming to cut down on regulatory burdens and give more power to states, the Centers for Medicare & Medicaid Services is making notable changes to the Medicaid program, the biggest source of payment for...
Clinics offering ‘miraculous’ treatment for diabetic foot ulcers hit with federal fraud charges
By
Kimberly Marselas
Apr 10, 2018
A federal grand jury has indicted the lawyer behind a ‘miraculous’ diabetes treatment widely panned as sham medicine.
Lawsuit claims nursing home managers scammed resident, sold her house, gave her only $2k for it
By
Kimberly Marselas
Apr 02, 2018
An Illinois woman is suing a nursing home and two former employees for allegedly selling her house against her wishes — then paying her only $2,000 for it.
Amount of post-acute care accounts for regional differences in Medicare spending, report says
By
McKnight's Staff
Mar 26, 2013
Geographic variations in Medicare payments can be largely explained by how much skilled nursing and post-acute care is being used, according to a recently released interim report from the Institute of...