The 2% reduction in Medicare payments known as sequestration began Monday. Providers should begin to see the impact by mid-April. The reductions will affect claims with dates of service or discharge on...
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.
CMS developing direct-pay model to test on seniors, others
By
Kimberly Marselas
Apr 25, 2018
The Centers for Medicare & Medicaid Services has announced it is exploring a direct-provider contracting model. It is the first payment reform initiative to result from the agency innovation center’s...
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).
Nursing homes will be subject to escrow for all civil monetary penalties, CMS announces
By
Tim Mullaney
Sep 05, 2013
Nursing homes facing a civil monetary penalty due to any type of deficiency will be subject to escrow and entitled to request an independent informal dispute resolution process, according to a newly issued...
Report: Medicare should cover nutritional counseling for chronic conditions
Dec 20, 2011
Medicare should reimburse for medical nutrition therapy (MNT) — or consultations with a registered dietician — to prevent and treat chronic health conditions such as hypertension, obesity, cancer and...
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 to revise audit practices
By
John O'Connor
Jun 01, 2013
Here’s the good news for providers dealing with Recovery Audit Program contractors: The federal government will make fewer additional document requests, starting this month. Now the not-so-good news:...
CMS expecting big crowd for MDS 3.0 special Open Door Forum
Jan 09, 2008
The Centers for Medicare & Medicaid Services for the first time is requesting advance registration for a nursing home “Open Door Forum.” The federal regulatory body will report results of its...
RAC audits: Skilled nursing facilities accounted for miniscule portion of 2011 Medicare overpayments
By
McKnight's Staff
Feb 07, 2013
Skilled nursing facilities accounted for only about $200,000 of $797 million in collected Medicare overpayments in 2011 identified by Recovery Audit Contractors, according to an annual audit report released...