Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
AHCA pitches ‘permanent’ therapy payment system
By
John Hall
Mar 06, 2015
Nursing homes’ biggest national ally and advocate is making the rounds on Capitol Hill this week in an effort to convince Congress to let die a lengthy experiment to withhold therapy claims while...
Slavitt, Conway rise in rank at CMS
By
John Hall
Feb 25, 2015
A number of internal promotions and a few staff acquisitions from a Health and Human Services’ insurance unit highlight a series of leadership changes at the Centers for Medicare & Medicaid Services,...
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...
Provider groups push for RAC reform
By
John Hall
Feb 06, 2015
Hospital industry groups said Thursday they’d rather the government reform the Recovery Audit Contractor program than simply throw more money at fixing an onerous backlog of more than 800,000 Medicare...
Brennan to lead new CMS office
Nov 20, 2014
Niall Brennan is the first Center for Medicare & Medicaid Services Chief Data Officer, the agency announced. He will lead the new Office of Enterprise Data and Analytics.
Providers must see clearly before they CHOW down
By
Richard Cheng
Sep 29, 2014
When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or “CHOW.” Because this could wind up endangering a Medicare provider...
Stakeholders need to prepare for the loss of long-term care’s exemption to e-prescribing
By
Cynthia Morton
Sep 15, 2014
The Centers for Medicare & Medicaid Services is set to lift long-term care’s exemption from its e-prescribing rule as of Nov. 1. This is bigger news than most realize right now, and there has been...
The end of fee for service
By
Mark Fish
Sep 12, 2014
The seeds that have flowered into the burgeoning of ACOs – groups of providers accepting the responsibility, and risk, for caring for the health of a designated patient population according to defined...
Latest therapy-billing showdown could be ominous sign for long-term care providers
By
James M. Berklan
Sep 10, 2014
Don’t let anyone tell you that long-term care operators don’t know how to read between the lines. They might not have known to fear a McKnight’s Monday news item before it broke, but...