High-profile consumer advocacy group sues over broken Medicare appeals process
By
Tim Mullaney
Aug 27, 2014
Long-term care providers have been outspoken in their criticism of the Medicare appeals process, which has all but ground to a halt. Now a class-action lawsuit says Medicare beneficiaries also are being...
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
Provider challenging $25k fine for lack of access to dying resident’s advance directive
By
Alyssa Salela
Jul 24, 2017
A nursing home plans to challenge a $25,000 fine associated with the facility failing to include a resident advance directive in his healthcare plan, which may have contributed to his death.
Ask the Payment Expert about … keeping finances in order for 2017
By
Patricia Boyer
Feb 05, 2017
With the first month of 2017 already behind us, what are some recommendations to keep your “financial house in order” the rest of the year?
Shortchanging 850 workers will cost operator $2 million
By
Jan 06, 2017
A New York-based skilled nursing chain will pay more than $2 million in back wages and damages after underpaying nearly 850 workers, the Department of Labor announced in December.
ACA repeal may not harm providers but replacement could, leader says
By
Jan 05, 2017
Nursing home providers are unlikely to see any earth-shattering changes should the Affordable Care Act be repealed, as promised by President-elect Donald Trump. But some of the options being floated as...
Judge sees no conflict of interest in hearing case against SNF owner who contributed $40k to her campaign
By
Nov 14, 2016
An Arkansas Supreme Court justice who received campaign funds from a nursing home owner said she has no plans to hand off hearing an appeal in a wrongful death lawsuit against him.
Ask the Legal Expert about… surveyor conduct
By
John Durso
Oct 05, 2015
Surveyors recently were unfair, and rude. They inappropriately threatened my managers with unfounded citations. The next time they come, I want to audiotape or videotape them. Can I legally do this?
CDC releases 2015-2016 flu shot recommendations
By
Aug 11, 2015
Seniors should be vaccinated for the flu before December, according to new vaccination recommendations from the Centers for Disease Control and Prevention.
CMS extends overpayment payback window to one year
By
James M. Berklan
Jul 05, 2012
Federal regulators have relented and given state Medicaid programs a full year to collect and return overpayments made to providers.