Medicare payment board would slash government payments to SNF providers, paper says
By
McKnight's Staff
Oct 24, 2012
The Affordable Care Act’s controversial Medicare payment board would be an “agent for reimbursement cuts to Medicare,” according to a policy paper released Wednesday.
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
Regulators outline new process for manual medical review of therapy claims
By
McKnight's Staff
Aug 08, 2012
Officials from the Center for Medicare & Medicaid Services on Tuesday clarified how the Middle Class Tax Relief and Job Creation Act of 2012 will affect the therapy cap exceptions process.
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.
iPods coming to an eldercare facility near you
By
Mary Gustafson
Jul 26, 2012
When I first spoke with Music & Memory founder Dan Cohen last year, he had big plans for his new program that would put iPods with personalized playlists in Alzheimer’s and other dementia patients’...
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.
Stop the ‘siloed’ policy making for skilled nursing
By
Alan G. Rosenbloom
Mar 21, 2012
Last week, three reports issued by three separate government agencies made incongruent recommendations — or no recommendations at all — related to skilled nursing facility (SNF) patient care and policy....
Medicare auditors can request twice as many SNF medical records
By
McKnight's Staff
Mar 20, 2012
Medicare recovery audit contractors (RACs) can now request twice as many resident medical records than previously allowed, according to the Centers for Medicare & Medicaid Services.