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 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 home group heightens lobbying for Medicaid funding before November elections
By
McKnight's Staff
Sep 11, 2012
Preserving Medicaid funding remains the top priority for the largest nursing home association in the United States as Congress heads back into session this week.
Vetoed proposal to limit Medicaid drugs a win for manufacturers, patients
By
Meredith Beirne
Jun 29, 2018
The Centers for Medicare & Medicaid Services has rejected a state proposal to limit Medicaid drugs for beneficiaries in an effort to lower costs.
California denied federal bailout funds, future of long-term care funding remains uncertain
Jun 17, 2009
Obama Administration officials Tuesday denied a request from California lawmakers for federal financial bailout assistance, according to recent reports. The Golden State faces a $24 billion budget deficit...
Federal judge orders the return of $90 million in Medicaid credits
By
John Hall
Feb 18, 2015
The state of Georgia may be the mouse that roared after convincing a federal court last week to force the government to return a bungled $90 million credit, even after ruling Health & Human Services had...
$96M Medicaid funding gap menaces state’s facilities, threatens closures
By
Josh Henreckson
Jan 17, 2024
Persistent and growing Medicaid funding gaps have pushed Maine long-term care leaders to request urgent relief from the state government. The LTC reimbursement shortfall has expanded to $96 million dollars,...
Grassley wants explanation for performance-based bonuses
Mar 05, 2008
Sen. Charles Grassley (R-IA) is upset with the way some Iowa nursing facilities are receiving performance-pay bonuses and has said he will ask federal regulators to explain them. Grassley’s request...
Medicare payment board would slash government payments to SNF providers, paper says
By
McKnight's Staff
Oct 24, 2012
The Affordable Care Act’s controversial Medicare payment board would be an “agent for reimbursement cuts to Medicare,” according to a policy paper released Wednesday.
After 15 years of trims, provider groups say middling Medicaid increase won’t cut it
By
Josh Henreckson
Nov 22, 2023
After 15 years of Medicaid reimbursement cuts, a group of providers says a cost-of-living increase is not enough to address compounding funding issues that threaten the quality of healthcare.