GAO: 14% of nursing home residents on Medicaid have more than $100,000 in assets
By
Tim Mullaney
Jun 24, 2014
Most nursing home residents on Medicaid have financial resources that were not counted toward their eligibility for the government insurance program, but few have substantial assets tucked away, according...
Also in the news for June 24, 2014 . . .
Jun 24, 2014
AHCA applauds Senators’ push for expanding vets’ long-term care options … RAND releases policy blueprint for better dementia care … Man pleads guilty in $205M scheme to place assisted...
Los Angeles County failed in investigating nursing homes, state says
By
Elizabeth Newman
Jun 23, 2014
The Los Angeles County Department of Public Health did not follow standard policies pertaining to nursing home inspections, according to a review released by the state Department of Health.
Federal government needs to boost Medicaid managed care oversight, GAO says
By
Tim Mullaney
Jun 20, 2014
The government’s oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released...
CMS to hold Medicare Advantage conference
Jun 12, 2014
The Centers for Medicare & Medicaid Services will hold its Medicare Advantage & Prescription Drug Oversight & Enforcement 2014 Program Audits conference on Tuesday, June 24 .It is designed to “provide...
Feds: Without more funds, we are cutting provider oversight
By
James M. Berklan
Jun 01, 2014
Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official’s testimony is to be believed as more than just budget-request bluster.
Pressure sore leads to false-advertising suit
By
James M. Berklan
Jun 01, 2014
A resident who developed a serious pressure ulcer allegedly due to negligence at a Pennsylvania continuing care retirement community is suing the operator, claiming it purposely misrepresented its care...
Medicare claims reviews should be more streamlined, government report states
By
Tim Mullaney
May 23, 2014
The government could improve Medicare oversight by creating a more uniform and unified post-payment review system, according to a report from federal officials.
Lawmakers go to bat for providers over backlogged Medicare appeals
By
James M. Berklan
May 22, 2014
Angry lawmakers ripped an overwhelmed Medicare appeals process that has wilted under a tenfold increase in audits recently. Federal officials from two key agencies agreed that the Medicare’s Recovery...
Misconduct at historic nursing home was not malicious, $6 million verdict should be overturned, lawyer...
By
Tim Mullaney
May 15, 2014
A $5.75 million verdict against the former administrator and board members of a historic nursing home should be thrown out because their misconduct was not malicious, a lawyer argued before a federal appeals...