Provider claims victory in ‘blockbuster’ battle with state regulators
By
Marty Stempniak
Oct 26, 2018
A Maryland skilled care provider has settled a long-running court dispute with state officials, agreeing to halt operations and pay back a small portion of what state regulators had originally sought.
HCR ManorCare ‘vindicated’ as DOJ announces plan to drop lawsuit
By
Nov 09, 2017
The Department of Justice on Wednesday filed a motion to drop a False Claims Act lawsuit it had joined against HCR ManorCare in 2015.
Senate committee to reintroduce bill targeting Medicare audits, appeals
By
Mar 30, 2017
A bill aimed at expediting the Medicare appeals process is expected to be reintroduced in the coming months, according to one healthcare insider.
CMS finalizes bundled payment model for hip, knee replacements
By
Nov 18, 2015
The Centers for Medicare & Medicaid Services has released its final bundled payment model for hip and knee replacement surgeries, which includes plans to waive the three-day stay rule for beneficiaries...
After receiving COVID-19 shots, many NY healthcare workers doubted boosters, study shows
By
Kristen Fischer
Apr 17, 2024
Healthcare workers at a New York health system likely aren’t exactly lining up to get the latest COVID-19 boosters. According to a survey of healthcare workers at HCP between 2021 and 2022, 17% were...
Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
Providers receive reprieve on advanced Medicare loan repayments
By
Danielle Brown
Oct 09, 2020
Providers who participated in the Medicare Accelerated and Advanced Payment Program for COVID-19 emergency will now have another year to pay back the loan thanks to Congress.
Lawsuit over observation status, SNF payment finally going to trial
By
Marty Stempniak
Mar 29, 2019
A years-long court battle over one of the biggest thorns in skilled nursing’s side may finally be going to trial, and the outcome could have big implications for providers and patients.
First bankruptcy, now Senior Care properties put on Sabra chopping block for $385M
By
Marty Stempniak
Dec 07, 2018
Sabra Health Care is finalizing a deal to sell the properties occupied by its largest operator, which filed for bankruptcy earlier this week.
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...