Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
GAO: Small percentage of Medicaid beneficiaries costing much more
May 11, 2015
The Government Accountability Office last week released findings showing 5% of Medicaid-only eligible enrollees accounted for nearly 50% of the billions of government dollars paid in Medicaid-only eligible...
Medicare claims reviews should be more streamlined, government report states
By
Tim Mullaney
May 23, 2014
The government could improve Medicare oversight by creating a more uniform and unified post-payment review system, according to a report from federal officials.
Nursing homes receive an unexpected compliment
By
James M. Berklan
Mar 09, 2015
Would anyone recommend duplicating something if they didn’t feel it was worthy or successful? Of course not. It’s this reasoning that should give skilled nursing operators comfort and pride.
Feds formally investigating private equity ownership of nursing homes
By
Danielle Brown
Apr 14, 2022
The federal government’s focus on private equity ownership in nursing homes is just a “red herring” for lawmakers, one leader said after the launch of a new probe into the matter.
Smart cards would do little to curtail Medicare fraud: GAO
By
John Hall
Apr 28, 2015
Medicare beneficiary smart cards would have a limited impact on reducing fraud and could even introduce “new, more sophisticated fraud schemes,” a new report by the Government Accountability...
Report: Long-term care providers pay the price for CMS’ poor auditor oversight
By
Tim Mullaney
Aug 14, 2014
Long-term care and other providers could be facing unfair burdens due to ineffective government oversight of Medicare auditors, according to a new report from a federal watchdog agency.
Watchdog pressures HHS to give timeline on remaining relief funding
By
Kimberly Marselas
Jul 20, 2021
The federal government’s top watchdog is calling for better communication about the distribution of coronavirus relief funds, criticizing the Department of Health and Human Services for not having a...
Replace FMAP with Medicaid funding system that better accounts for seniors, government report says
By
McKnight's Staff
May 15, 2013
The federal government could distribute Medicaid dollars to states more effectively by looking at data that better reflects the needs of nursing home residents and workers, according to a new report from...
CMS now using 14 days of data to calculate COVID-19 county positivity rate; HHS could improve nursing...
By
Danielle Brown
Sep 23, 2020
The Centers for Medicare & Medicaid has modified its methodology used for classifying county-level COVID-19 data that determines how often nursing homes will have to test staff members for the disease.