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The Centers for Medicare & Medicaid Services specified four provider responsibilities for expedited review of Medicare service terminations in a recent claims manual update.

A new Senate bill addresses provider concerns over the Medicare audit process, including the role of Recovery Audit Contractors. The House is also considering a version of the “Medicare Audit Improvement...

A $5.75 million verdict will stand and there will be no new trial in the case against officers and board members of a former Pennsylvania nursing home, a federal judge recently ruled.

Lawmakers in the U.S. Senate and House of Representatives have introduced a bill that would require employers to make reasonable job modifications for pregnant women. The lawmakers were motivated in part...

The Centers for Medicare & Medicaid Services has updated the online Medicare Provider Reimbursement Manual, modifying instructions related to the 2% reimbursement reductions resulting from sequestration.

The House of Representatives has passed the “Working Families Flexibility Act.” The bill, H.R. 1406, would allow employers to offer paid time off in place of overtime pay, and has put healthcare...

Providers will see fewer Additional Document Requests starting in June, as the Centers for Medicare & Medicaid Services transitions to new Recovery Audit Program contracts. CMS has started the contract...

A recent Centers for Medicare & Medicaid memorandum provides some clarity regarding new therapy cap notification rules, but providers still need guidance on other aspects of therapy reimbursement, according...

The Minimum Data Set manual will be revised to reflect a new correction policy, the Centers for Medicare & Medicaid Services recently announced.

I have been in my director of nursing position at my new job for about three months now and I find that our turnover rate is outrageous. I interview and hire but after orientation, it is hard to keep our...