Ask the payment expert … about continuing RAC requests
By
Patricia Boyer
Jul 01, 2014
I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?
A Day in the Life: Oh, the places they’ll go
By
Jan 08, 2018
It began in 2011 with one resident’s request: He wanted to visit Disney World.
Stuck in Model T mode
By
John O'Connor
Mar 02, 2020
Let’s say you want to purchase a new car. Would you walk into a dealership and request “a Toyota”? Not likely.
Revised guidelines increase flexibility for additional document request submissions
By
Elizabeth Newman
Sep 26, 2013
The Centers for Medicare & Medicaid Services has decided to ease guidelines concerning auditors’ requests for additional documentation. CMS is giving providers a small break by saying auditors should...
CMS updates SNF Medicare manual to implement sequestration cuts
By
McKnight's Staff
May 16, 2013
The Centers for Medicare & Medicaid Services has updated the online Medicare Provider Reimbursement Manual, modifying instructions related to the 2% reimbursement reductions resulting from sequestration.
Provider requests new trial following jury’s $347 million verdict
By
Apr 03, 2017
A Florida-based skilled nursing chain is requesting a new trial in a case that landed it with a $347 million jury verdict.
Court calls COVID-19 an ‘occupational disease’ for nursing home employees, allows workers’ compensation...
By
Josh Henreckson
May 07, 2024
A long-term care worker’s family can receive workers’ compensation payments resulting from his 2020 death due to COVID-19, the Colorado Court of Appeals has ruled.
State group seeks injunction to force SNF to hand over records in neglect suit
By
Apr 11, 2017
A Michigan disabilities group is requesting an injunction against a nursing home that would force the facility to hand over records.
RAC transition: Fewer document requests but no slowing of therapy reviews, CMS says
By
McKnight's Staff
May 10, 2013
Providers will see fewer Additional Document Requests starting in June, as the Centers for Medicare & Medicaid Services transitions to new Recovery Audit Program contracts. CMS has started the contract...
CMS to grant more flexibility for telemedicine use in Medicare Advantage
By
Marty Stempniak
Oct 30, 2018
The federal government is aiming to expand the use of virtual visits for seniors with requested new changes to Medicare Advantage.