Extension for Medicaid privatization scheme in Florida under CMS review
Aug 26, 2010
The Centers for Medicare & Medicaid Services recently agreed to review a research and demonstration waiver for a controversial Medicaid privatization scheme in five Florida counties, but it has not granted...
Automatic 2% Medicare cuts begin
By
McKnight's Staff
Apr 02, 2013
The 2% reduction in Medicare payments known as sequestration began Monday. Providers should begin to see the impact by mid-April. The reductions will affect claims with dates of service or discharge on...
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
CMS developing direct-pay model to test on seniors, others
By
Kimberly Marselas
Apr 25, 2018
The Centers for Medicare & Medicaid Services has announced it is exploring a direct-provider contracting model. It is the first payment reform initiative to result from the agency innovation center’s...
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
Nursing homes will be subject to escrow for all civil monetary penalties, CMS announces
By
Tim Mullaney
Sep 05, 2013
Nursing homes facing a civil monetary penalty due to any type of deficiency will be subject to escrow and entitled to request an independent informal dispute resolution process, according to a newly issued...
Latest federal mandate denial sets stage for possible Supreme Court appeal
By
Kimberly Marselas
Dec 15, 2021
The battle over a federal COVID-19 vaccine mandate for healthcare workers is primed for its Supreme Court debut, now that a federal appeals court has ruled a temporary injunction should remain in place.
House subcommittee investigating CMS, nursing homes’ COVID-19 responses
By
Danielle Brown
Jun 17, 2020
The federal government and five of the largest nursing home operators are being targeted by a House panel in a newly launched investigation into the handling of the coronavirus crisis.
Report: Medicare should cover nutritional counseling for chronic conditions
Dec 20, 2011
Medicare should reimburse for medical nutrition therapy (MNT) — or consultations with a registered dietician — to prevent and treat chronic health conditions such as hypertension, obesity, cancer and...
House committee puts Medicare audit contractors on the hotseat
By
McKnight's Staff
Jul 10, 2012
Lawmakers are asking Medicare contractors for more information about how they go about identifying and reporting potentially fraudulent payments to the Centers for Medicare & Medicaid Services.