Medicare C-SNP enrollment improves kidney disease outcomes: study
By
Alicia Lasek
Nov 03, 2020
Adults with end-stage renal disease appear to have lower rates of hospitalization and mortality when they enroll in Medicare’s Chronic Condition Special Needs Plans, a new investigation has found.
False Claims suit against Omnicare, CVS Health dismissed in appeals court
By
Danielle Brown
Aug 20, 2020
Omnicare and parent company CVS Health earned a court victory this week after a federal appeals court agreed to dismiss a whistleblower’s False Claims Act lawsuit for an alleged kickback scheme.
Your Medicare future: Bigger pie, smaller slice
By
John O'Connor
Nov 12, 2018
I have seen the future of Medicare. Here’s what you can expect: Demand will grow the program; fiscal realities will shrink your share.
3 bold predictions for the coming year in long-term care
By
John O'Connor
Jan 02, 2018
There’s nothing like a budding new year to awaken that urge in scribes to warn better-informed readers what to expect. It must be some kind of occupational hazard. So in the spirit of not always...
AARP urges lawmakers to exempt Medicare from tax bill cuts
By
Dec 11, 2017
One of the nation’s largest senior advocacy groups is warning lawmakers of the “lasting impact” of Medicare cuts that would be potentially included in the GOP’s final tax reform...
Nipping improper Medicare payments in the bud
By
James M. Berklan
Sep 15, 2016
Does the Centers for Medicare & Medicaid Services need its own Barney Fife to set its house in order? Some seem to think so.
CMS sneaks a trick in with its treats
By
Steven Littlehale
Oct 21, 2015
With so many regulatory changes kicking in on Oct. 1, it’s no wonder providers were likely too distracted to notice the latest “trick” by the Centers for Medicare & Medicaid Services.
What will it cost you to stay in the post-acute care game?
By
Steven Littlehale
Apr 22, 2015
More than just collecting data, providers need to use standardized, nationally recognized measures. Especially in this era of ACOs and alternative payment models. In the past, many individual providers...
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Rehab firm’s overbilling will cost provider $1 million-plus
By
James M. Berklan
Nov 01, 2014
The fallout from a recent spike in rehabilitation charges to government payers continued to make headlines in September. This time, a nursing home company was blamed for insufficient oversight of its contract...