New CMS guide serves as road map for Medicare coverage, coding
Sep 02, 2008
The Centers for Medicare & Medicaid Services hopes that a new online guide for Medicare beneficiaries and healthcare providers will be a “one-stop shop” for information on coverage, coding...
Joint HHS, Justice efforts recoup $28 billion in Medicare payments
By
John Hall
Mar 19, 2015
The Justice Department announced on Thursday it had captured $3.3 billion from healthcare fraud prosecutions and other deals in 2014, bringing to nearly $28 billion the total amount it has recouped since...
Fee-for-service still consumes most Medicare outlays: Report
By
John Hall
May 07, 2015
Far more than half of the $360 billion in Medicare payments made just two years ago were based on traditional fee-for-service models without regard to quality or value, according to an independent report...
Study: Medicare pay-for-performance penalizes hospitals that treat more elderly patients
Oct 22, 2008
Hospitals that serve large groups of the elderly, poor, African-American or female patients tend to be ranked lower than hospitals with healthier, younger clientele under the Medicare pay-for-performance...
CMS researches Medicare Advantage plan costs
Mar 03, 2008
The Centers for Medicare & Medicaid Services has begun collecting more information on Medicare Advantage plans and cost-sharing policies in response to a report issued last Thursday by the Government Accountability...
Medicare service providers cannot object to a Medicare Recovery Audit Contractor’s (RAC) decision to re-open a payment decision, a federal appeals court ruled Tuesday.
CMS issues final rule on hospice care
May 30, 2008
The Centers for Medicare & Medicaid Services has released its final rule concerning hospice care, despite a recent notice saying it would delay issuing such a rule until 2009.
Not angry about the LTC Commission’s report? You should be
By
John O'Connor
Sep 20, 2013
It’s hard to comment on the Commission on Long-Term Care’s just-submitted report without getting hacked off. Really, really hacked off. To call it a fool’s errand would be to insult misdirected...
Rockefeller introduces bill making MedPAC independent executive branch agency
May 27, 2009
The Medicare Payment Advisory Commission (MedPAC) is a legislative entity whose purpose is to advise Congress on matters of Medicare reimbursement rates and coverage policies. Now, one senator has introduced...
Nursing home lobbyists urge lawmakers for change but don’t expect long-term care reform
Jun 05, 2009
Hundreds of nursing home owners and operators blitzed congressional buildings in Washington on Thursday, pressing lawmakers for better Medicare payments, a halt to post-acute payment bundling system talk...