Fix flaws before changing nursing home pay: AHCA says
By
James M. Berklan
Aug 01, 2013
The Centers for Medicare & Medicaid Services should consider a higher market basket update for nursing homes due to improper calculations that could be costing providers, the American Health Care Association...
New bid may be underway to foster Medicaid block grants
By
James M. Berklan
Feb 05, 2019
The administration is considering sidestepping Congress to make another run at using state block grants to pay for Medicaid funding, according to a published report.
Providers rip huge backlog of therapy claims reviews
By
James M. Berklan
Jan 01, 2014
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
Attuned long-term care providers show what’s most important
By
James M. Berklan
Aug 08, 2012
When it comes to administering long-term care, there is no doubt that Medicaid, Medicare, surveys and the Minimum Data Set are ultra-important topics. But let’s not forget what’s really at...
Providers catch big break as MDS 3.0 gets one-year delay
By
James M. Berklan
Apr 01, 2009
Nursing homes have an extra year to prepare for MDS 3.0 after the Centers for Medicare & Medicaid Services disclosed it would delay implementing the program overhaul until October 2010.
Washington owes Medicaid programs $4 billion, govs say
By
James M. Berklan
Aug 02, 2011
With federal lawmakers trying to figure out ways to cut expenditures, balance the budget and reduce the national deficit, funding to states — and healthcare providers in particular — has frequently...
Provider to pay $3 million in ambulance-swapping case
By
James M. Berklan
Jan 04, 2016
Federal authorities believe they have broken new ground by leveraging a $3.2 million settlement with a provider for its part in an alleged fraudulent ambulance service scheme.
Study: Dramatic change in diet reversed type 2 diabetes
By
James M. Berklan
Apr 20, 2016
Results of a small British clinical study have raised hopes that type 2 diabetes is reversible in some people if they follow a stark new diet.
Wednesday is new final deadline for 2021 Women of Distinction entry(ies) — submit now!
By
James M. Berklan
Jan 08, 2021
Organizers are urging nominators and potential nominees to take advantage of an extra week to submit materials for the 2021 McKnight’s Women of Distinction awards program. The extended deadline is now...
Proposed 9% therapy pay cut has providers up in arms
By
James M. Berklan
Sep 01, 2020
Provider advocates have warned that the Trump administration’s proposed 9% Medicare payment cuts for physical and occupational therapy could send some companies out of business.