CMS leverages technology in move from ‘pay-and-chase’ to fraud prevention
By
McKnight's Staff
Feb 26, 2013
The Centers for Medicare & Medicaid Services will utilize computer technology to shift from detecting and then prosecuting fraud (“pay-and-chase”) to preventing it, according to a CMS official...
CMS may seek $225 million in uncollected Medicaid overpayments
By
McKnight's Staff
Feb 25, 2013
The Centers for Medicare & Medicaid Services should press states to repay about $225 million in Medicaid overpayments accrued over a 10-year period, according to a recent report from the Department of...
AHCA, Alliance, support Obama’s renomination of Tavenner as head of CMS
By
Elizabeth Newman
Feb 08, 2013
Marilyn Tavenner, the acting administrator at the Centers for Medicare & Medicaid Services, has been renominated by President Barack Obama to permanently fill the position.
Upon further review
By
Kimberly Marselas
Feb 02, 2013
Instead of spending more time doing hands-on patient care, therapists who work with Medicare beneficiaries have been strapped with increased administrative tasks, sometimes leading to delayed services,...
Medicare has two more years to reclaim any overpayments
By
James M. Berklan
Feb 01, 2013
Providers will have to hold their breath a little longer after receiving Medicare payments, thanks to a little-publicized provision of recently signed fiscal cliff legislation.
Long-term care pharmacy groups propose changes to make short-cycle dispensing more efficient, cost-effective
By
McKnight's Staff
Feb 05, 2013
Long-term care pharmacies are struggling with an Affordable Care Act provision related to short-cycle dispensing of brand name oral solid drugs, according to a recent letter from the Long Term Care Pharmacy...
Medicare accepting new codes for transition care
By
McKnight's Staff
Jan 28, 2013
As part of an effort to improve coordination among different care settings and reduce rehospitalizations, the Centers for Medicare and Medicaid Services is now accepting two new codes related to transitional...
This pilot long-term care program might require actual pilots
By
John O'Connor
Jan 25, 2013
The Centers for Medicare & Medicaid Services often backs pilot programs that might help improve long-term care services. In recent years, the agency has funded efforts to do things such as update employee...
Long-term care providers, hospitals successfully partner to reduce rehospitalizations
By
McKnight's Staff
Jan 24, 2013
Long-term care facilities that coordinate with other healthcare providers play a vital role in reducing rehospitalizations among Medicare beneficiaries, according to a study published January 23 in The...
CMS rule shines light on Medicaid cost sharing, eligibility and appeals process as Obamacare rolls out
By
McKnight's Staff
Jan 15, 2013
The Centers for Medicare & Medicaid Services has proposed a rule to clarify ways in which Medicaid will be coordinated under the Affordable Care Act rollout.