A long-term care provider that requested clearance for a system of paying an agency to refer patients is in the clear.
PET scans for Alzheimer’s rejected for Medicare pay
By
James M. Berklan
Nov 01, 2013
Earlier this year, the Department of Health and Human Services released an action plan for tackling Alzheimer’s diagnostics, treatment and funding.
Cases subject to escrow
By
James M. Berklan
Oct 01, 2013
Federal regulators have expanded the use of escrow accounts so that as of this month, providers will be subject to their use for any kind of deficiency from a standard or complaint survey that draws a...
RACs recoil against bills
By
James M. Berklan
Jul 01, 2013
Independent Medicare auditors are criticizing two measures that would put stricter controls on Recovery Audit Contractors.
CMS wants burdens eased
By
James M. Berklan
Feb 01, 2013
Providers will have their say about the future of Medicare Administrative Contractors.
GAO: Medicaid flaws found
By
James M. Berklan
Oct 01, 2012
People seeking Medicaid coverage for long-term care are subjected to differing asset-verification checks among the states, a new report finds.
Claims facing more scrutiny from auditors, survey shows
By
James M. Berklan
Oct 01, 2012
If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.
CMS extends overpayment payback window to one year
By
James M. Berklan
Jul 05, 2012
Federal regulators have relented and given state Medicaid programs a full year to collect and return overpayments made to providers.
MDS 3.0 updates strike
By
James M. Berklan
Apr 02, 2012
At least providers can’t say they weren’t warned about major changes to the new MDS 3.0 and other resident assessment tools that started this month.