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.
Lawmakers demand answers, imply oversight is inadequate
By
James M. Berklan
May 08, 2018
Legislators’ request for sweeping information about federal regulators’ oversight of nursing homes is part of a House Energy and Commerce Committee official inquiry. A letter from four U.S....
No reason to cheer fiscal cliff ‘solution’
By
James M. Berklan
Jan 02, 2013
Should a person be congratulated and backslapped for simply doing his or her job? That’s the question that should be on people’s minds today as they ponder what has happened with fiscal cliff...
Feds: Without more funds, we are cutting provider oversight
By
James M. Berklan
Jun 01, 2014
Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official’s testimony is to be believed as more than just budget-request bluster.
Avalere: SNFs facing $65 billion in losses
By
James M. Berklan
Sep 01, 2012
A 1.8% increase in Medicare payments to skilled nursing providers that starts next month will essentially be negated by losses expected from sequestration and the enactment of fresh “bad debt”...
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.
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...