Medicare Part B could have saved $110 million, OIG asserts
By
Elizabeth Newman
Sep 18, 2014
If the Medicare Part B program had used average Medicare Part D drug dispensing and fee rates, it would have saved the government $110 million in 2011, according to a report from the Department of Health...
Judge rules nursing home residents can vote by video, while CMS emphasizes that providers must ensure...
By
Danielle Brown
Oct 07, 2020
The Centers for Medicare & Medicare Services this week is reminding providers that they must ensure nursing home residents are able to exercise their right to vote during the upcoming presidential election...
Long-term care and CMS workers occupy common ground
By
Tim Mullaney
Dec 03, 2013
Long-term care workers and Centers for Medicare & Medicaid Services employees might have a lot in common — and that’s not entirely good news.
Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
Providers receive reprieve on advanced Medicare loan repayments
By
Danielle Brown
Oct 09, 2020
Providers who participated in the Medicare Accelerated and Advanced Payment Program for COVID-19 emergency will now have another year to pay back the loan thanks to Congress.
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...
Feds restart regular survey inspections at nursing homes
By
Danielle Brown
Aug 18, 2020
Regular surveys are resuming for long-term providers after being suspended for nearly five months due to the COVID-19 pandemic.
COVID-19 costs should be baked into the SNF PPS payment structure for ‘foreseeable future,’ AHCA...
By
Danielle Brown
Jun 11, 2020
The federal government should integrate increased costs associated with COVID-19 care in the SNF PPS payment structure for the “foreseeable future” to ensure adequate reimbursement, according to the...
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...
Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?