Independent Medicare auditors are criticizing two measures that would put stricter controls on Recovery Audit Contractors.
Safety committee’s records not privileged: federal court
By
James M. Berklan
Oct 05, 2015
A North Carolina nursing home operator can’t claim privilege in protecting documents created by its safety committee from discovery, a federal trial court has ruled.
Senators want to know more about nursing home ratings
By
James M. Berklan
Oct 05, 2015
The Government Accountability Office is becoming well-versed at digging into the Centers for Medicare & Medicaid Services’ nursing home ratings system.
A ‘special’ feeling that no provider wants to have
By
James M. Berklan
Jul 01, 2014
As spring blends into summer, some nursing home operators are going to start feeling more heat. The federal government is moving to reclaim some form of “normalcy” after sequestration cuts...
Federal judge to troubled operator: Exhaust other options before you make a federal case
By
James M. Berklan
Jun 11, 2013
A facility with a history of safety deficiencies must exhaust its administrative options before seeking relief in the courtroom, a district court judge ruled. Moreover, the requested temporary injunction...
Extra audits clog and freeze Medicare appeals process
By
James M. Berklan
Mar 01, 2014
Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.
CMS looking for accountable care organization comments and new Pioneer ACO participants
By
James M. Berklan
Dec 23, 2013
The Centers for Medicare & Medicaid Services announced Friday that it is seeking a second round of applicants to the Pioneer ACO Model.
Supervisor let resident die, covered it up, state charges
By
James M. Berklan
Jul 01, 2014
A nursing home supervisor in New York allegedly failed to administer CPR or direct staff members to do so, criminally allowing a resident to die, the state attorney general’s office has charged.
ACHCA postpones conference nearly 4 months
By
James M. Berklan
Apr 03, 2020
The American College of Health Care Administrators has announced that it is moving its annual meeting to Aug. 30 to Sept. 2.
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...