The Centers for Medicare & Medicaid Services recently finalized 2014 Medicare rate updates for hospices and inpatient rehabilitation facilities, and also laid out quality metrics. Hospices will receive...
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
CMS heading into facilities to help determine federal staffing mandate
By
James M. Berklan
Aug 12, 2022
Contractors will be making 65 nursing home visits over the next three months in a bid to help establish first-ever federal minimum staffing levels.
BREAKING: CMS ends nurse aide certification waiver, many other COVID-19 allowances
By
Danielle Brown
Apr 07, 2022
The Centers for Medicare & Medicaid Services is restoring training requirements for nurse aides who work at skilled nursing facilities after waiving them early during the COVID-19 crisis.
Care Compare promotes selfish provider goals when it comes to admission and retention policies, researchers...
By
Joe Bush
Oct 05, 2022
The system used to rate nursing homes’ quality needs to be given more oversight in order to discourage admission practices providers employ to pump up their ratings, said authors of a research letter...
Providers, Congress ratchet up pressure on CMS to extend nurse-aide certification waiver
By
Joe Bush
Sep 14, 2022
Members of Congress last week asked Centers for Medicare & Medicaid Services to support flexibilities to help with the nation’s SNF staffing crisis.
Nursing home penalties may rise in wake of AARP lawsuit alleging ‘weak’ CMS enforcement, endangered...
By
Danielle Brown
Jan 20, 2021
Nursing home operators should be on high alert for potential rule changes regarding civil monetary penalties after a lawsuit was filed against federal health agencies Sunday that targets a 2017 rule that...
ACOs saved Medicare more than $700 million in 2016
By
Oct 27, 2017
Accountable care organizations participating in Medicare’s Shared Savings and Pioneer models saved the program roughly $713 million last year — nearly double the amount of savings recorded in 2015.
Members of Congress ratchet up pressure on nursing homes
By
James M. Berklan
Apr 03, 2018
Four influential Republican Congressmen sent a letter to federal regulators Tuesday, requesting sweeping answers about the agency’s oversight of nursing homes.
Yarwood: Five-star rating system, card-check legislation loom large
Oct 07, 2008
While the nursing home industry can be proud of its accomplishments in Washington over the last year, many challenges await. These include card-check legislation in Congress and a problematic five-star...