The government often hires “overzealous” investigators to detect fraudulent Medicare and Medicaid billing practices, a new report alleges. These examiners often target technical errors instead...
Senators demand more data on Medicare fraud prevention efforts
By
McKnight's Staff
Aug 01, 2012
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.
Hospices see Medicare payment increase
Jul 26, 2012
Medicare payments to hospice providers had a slight boost in 2013, according to a regulator notice released Tuesday. These providers also should be preparing to report quality data and additional diagnosis...
CMS frees up $275 million for state coordinated care initiatives
By
McKnight's Staff
Jul 23, 2012
States eager to test payment reform models for federal health programs can apply for awards totaling $275 million, courtesy of the Centers for Medicare & Medicaid Services.
Need for cognitive assessments missing from home- and community-based Medicaid regulations, group says
By
McKnight's Staff
Jul 17, 2012
Regulations issued by the Centers for Medicare & Medicaid Services concerning Medicaid coverage for home- and community-based services has been too vague for Alzheimer’s advocates.
SNFs may see more payments based on quality; invited to weigh in on LTC requirements
By
McKnight's Staff
Jul 13, 2012
The Centers for Medicare & Medicaid Services has released reports tackling value-based purchasing for skilled nursing facilities, MDS frequency and goals for nursing homes.
OIG investigation raises conflict of interest concerns in ZPIC program
By
McKnight's Staff
Jul 11, 2012
Regulators need to be more aggressive in identifying conflicts of interest among Medicare’s fraud-fighting Zone Program Integrity Contractors (ZPICs), a new government report recommends.
House committee puts Medicare audit contractors on the hotseat
By
McKnight's Staff
Jul 10, 2012
Lawmakers are asking Medicare contractors for more information about how they go about identifying and reporting potentially fraudulent payments to the Centers for Medicare & Medicaid Services.
CMS boosts payments, incentives for dialysis centers
By
McKnight's Staff
Jul 03, 2012
Medicare payments to providers that offer outpatient maintenance dialysis treatments will increase 2.5% in calendar year 2013, regulators said.
CMS to survey nursing homes about quality assurance best practices
Jun 28, 2012
Throughout the summer, the Centers for Medicare & Medicaid Services is collecting data from 4,200 nursing homes to help develop best practices for a new quality assurance initiative.