People seeking Medicaid coverage for long-term care are subjected to differing asset-verification checks among the states, a new report finds.
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.
Medicare appeals backlog to be fixed by 2020, HHS says
By
James M. Berklan
Dec 06, 2016
Federal health officials say tweaks to the system will enable them to eradicate a massive backlog of Medicare decision appeals in 2019. They made the prediction in a court brief filed in U.S. District...
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.
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.
Researchers call providers’ discharge habits into doubt
By
James M. Berklan
Jul 17, 2019
Providers can expect more scrutiny into their discharge practices thanks to research that has found that many Medicare patients appear to be sent home just as financial obligations change.