CMS budget defines nursing home quality targets, requests an additional $50 million for surveys
By
Tim Mullaney
Mar 12, 2014
The Centers for Medicare & Medicaid Services’ proposed budget for fiscal year 2015 requests additional funds for survey activities and lists the agency’s targets for nursing home quality measures.
Likely closure can’t stop CMS termination
By
Julie Williamson
Mar 01, 2014
Despite meeting criteria for “irreparable injury,” a Rochester, NY-based skilled nursing facility that is appealing Medicare and Medicaid termination can’t qualify for a stay of termination,...
Long-term care groups applaud a pause in Medicare audits, urge permanent changes
By
Tim Mullaney
Feb 21, 2014
Long-term care stakeholders are praising the government’s decision to temporarily pause the recovery audit contractor program, which is associated with a huge backlog of Medicare claims appeals.
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
Top 5 news stories reveal varied interests among long-term care professionals
By
John O'Connor
Jan 03, 2014
What do neck abnormalities, dangerous bacteria, a murder-suicide, a defensive nursing home chain, and antipsychotic guidelines have in common? These five developments were voted the most popular news stories...
Nursing home trust-fund crimes aided by lack of oversight: report
By
Dave Surico
Dec 03, 2013
Theft or poor management from trust funds of nursing home patients is aided by a lack of regulations, according to a new USA TODAY report.
Long-term care and CMS workers occupy common ground
By
Tim Mullaney
Dec 03, 2013
Long-term care workers and Centers for Medicare & Medicaid Services employees might have a lot in common — and that’s not entirely good news.
CMS fails to measure outcomes of the zone program integrity contractor program: government report
By
Tim Mullaney
Nov 26, 2013
The Centers for Medicare & Medicaid Services is not thoroughly assessing how well zone program integrity contractors are contributing to Medicare anti-fraud efforts, according to a new report from the...
PET scans for Alzheimer’s rejected for Medicare pay
By
James M. Berklan
Nov 01, 2013
Earlier this year, the Department of Health and Human Services released an action plan for tackling Alzheimer’s diagnostics, treatment and funding.
Cases subject to escrow
By
James M. Berklan
Oct 01, 2013
Federal regulators have expanded the use of escrow accounts so that as of this month, providers will be subject to their use for any kind of deficiency from a standard or complaint survey that draws a...