Medicare providers could face up to 100% late tax penalties
By
John Hall
Mar 25, 2015
Praise for Congress for proposing a bill that would reset Medicare physician pay rates could be a little less hearty, after details emerged Tuesday that the measure would also include penalties as high...
Improper coding for doctors’ evaluation and management visits costs Medicare billions, OIG report
By
John Hall
May 30, 2014
Documentation coding errors related to routine patient evaluation and management (E/M) visits are costing the Medicare program billions of dollars in improper payments a year — nearly $7 billion alone...
LeadingAge rallies against proposed Medicare, Medicaid changes
By
John Hall
Aug 24, 2015
A leading nursing home advocate is mustering support to combat massive changes the administration has proposed for Medicare and Medicaid participation.
Nursing homes blamed for high opt-out rates in dual eligible demo
By
John Hall
May 18, 2015
Huge numbers of dual-eligible beneficiaries are leaving a demonstration project that hopes to improve payments for people eligible for both Medicare and Medicaid.
Bill would credit observation stays toward ‘three-night rule’
By
John Hall
Mar 24, 2015
A bill introduced in Congress on Monday would count all time that Medicare beneficiaries spend under hospital “observation” status toward the three-day inpatient requirement necessary to receive...
CMS actuary throws cold water on ‘doc fix’ bill projections
By
John Hall
Apr 12, 2015
Long-term care leaders who have widely endorsed a House proposal to permanently “fix” the Sustainable Growth Rate formula, might be suffering buyer’s remorse after learning Friday that...
New Medicare ACO to be unveiled soon
By
John Hall
Mar 02, 2015
The government’s top health insurer has announced that providers could get a first look at a new type of Medicare accountable care organization this month. It has been modeled closely after a controversial...