Members of Congress ratchet up pressure on nursing homes
By
James M. Berklan
Apr 03, 2018
Four influential Republican Congressmen sent a letter to federal regulators Tuesday, requesting sweeping answers about the agency’s oversight of nursing homes.
AHCA requests sit-down with Biden, top officials on nursing home reform plans
By
Danielle Brown
Mar 09, 2022
The nation’s largest nursing home association has requested a sit-down with President Joe Biden in a push to clear up “some of the inaccuracies” cited by the president in his nursing home reform...
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...
CMS finalizes long-awaited prior authorization rule for Medicare Advantage
By
Josh Henreckson
Jan 18, 2024
A new rule on Medicare Advantage prior authorization finalized by the Centers for Medicare & Medicaid Services Wednesday suggests good news for providers and Medicare recipients.
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...
Free COVID tests now available to all aging services providers
By
Kimberly Marselas
Jan 09, 2023
Nursing homes and other aging services providers across the US can now access free COVID-19 test kits through an expanded partnership between the Department of Health and Human Services and LeadingAge.
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...