Regulators have tightened up screening efforts for Medicare providers
By
McKnight's Staff
Apr 24, 2012
Regulators have strengthened Medicare provider enrollment and toughened fraud prevention efforts, but it’s too early to know how effective the initiatives will be, a new report reveals.
Hospice workers who provide care for residents of skilled nursing facilities will have to provide more detailed claim data starting next year, according to recently released requirements from the Centers...
Heart failure readmission rates tied to regional socioeconomic factors, research shows
By
McKnight's Staff
May 18, 2012
Socioeconomic differences and factors such as the availability of physicians have a bigger impact on readmission rates for heart failure than a provider’s performance, a new study asserts.
CMS clarifies COVID-related LTC survey process
By
Danielle Brown
Jan 31, 2022
Providers have more information on how surveyors will interpret infection control and vaccination requirements moving forward thanks to updated guidance to the long-term care survey process procedure guide...
CMS proposes 2.3% Medicare raise for nursing homes
By
James M. Berklan
Apr 13, 2020
Nursing home operators are in line to receive an aggregate $784 million Medicare boost next year, if a federal proposal released Friday remains unchanged. It would amount to a 2.3% net increase starting...
Medicare fund will be depleted by 2024, report finds
May 16, 2011
The annual Medicare Trustees report found that under current conditions, the Medicare hospital insurance trust fund will be exhausted by 2024, largely due to the bad economy. The same report, which was...
Ask the payment expert
By
Patricia Boyer
May 01, 2008
I understand that many facilities are being cited during state surveys for not following standards of clinical practice. That citation is frequently cross-referenced to the assessment process. What can...
PEPPER’s pause doesn’t wipe out prospects for nursing home self-monitoring
By
Kimberly Marselas
Feb 06, 2024
Federal regulators have suspended a key tool used by some nursing homes for internal auditing, but experts cautioned providers not to let the stoppage hinder their compliance efforts.
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...
CMS to expedite review of CLIA waivers for COVID-19 point-of-care tests
By
Danielle Brown
Jul 16, 2020
Nursing homes will be required to have Clinical Laboratory Improvement Amendments (CLIA) waivers to perform COVID-19 point-of-care tests. As a result, the Centers for Medicare & Medicaid Services is working...