Disenrolling residents from MA plans leads to $7.85 million provider settlement with feds
By
Danielle Brown
Jul 01, 2022
A New York-based provider is settling allegations that it switched resident’s Medicare coverage to maximize its reimbursements for nearly $8 million.
Pfizer, BioNTech to pursue 2nd booster shot authorization for older adults
By
Alicia Lasek
Mar 16, 2022
A second booster — or fourth dose — will be necessary to improve the vaccine’s waning protection in the face of omicron, Pfizer’s CEO has stated. Whether the FDA will find the evidence compelling...
Providers want to change new state law that sets minimum training requirements for dementia care staff
By
Danielle Brown
Jan 08, 2020
Providers in New Hampshire are looking to amend a newly effective state law that sets minimum training requirements for facility staff members who care for people with dementia, including Alzheimer’s. ...
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...
Facilities misleading public about dementia care services, review claims
By
Holly Petrovich
Jul 16, 2015
Nearly 60% of Massachusetts nursing homes that say they can handle residents with dementia are misleading the public about the extent of their services.
Games to engage the mind
By
Jill Gilbert
Nov 01, 2008
A 2007 study in the journal Neuroepidemiology estimates that 3.8 million people in the United States have dementia. The progressive decline in cognitive and physical abilities among this population makes...
Providers wary of pay, care coordination aspects of chronic care proposal
By
Feb 02, 2016
A set of proposed policies for chronic care may have “unintended consequences” on payment systems and create barriers to care coordination, say provider groups.
Nursing home hospice provider kept patients in hospice for years, overbilled for their care, prosecutors...
By
Tim Mullaney
Jan 28, 2014
An Illinois-based hospice provider overbilled Medicare and Medicaid by inappropriately designating nursing home residents as hospice patients, sometimes for years, according to federal charges announced...
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...
Embattled Skyline operators fined $85k for wage theft
By
Kimberly Marselas
Jun 27, 2019
The penalties do not include $64,749 in back wages, which were covered by court-appointed receiver KCP Advisory Group.