Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
For providers, the time has come to predict, prepare and partner up for the the next big threat
By
Kimberly Marselas
Apr 10, 2024
BALTIMORE — One of the newest nursing home division staff members at the Centers for Medicare & Medicaid Services offered up her best Notradamus impression for providers here Wednesday. No, Lenise Cummings-Vaughn,...
This season, the gifts will just keep on comin’
By
Kimberly Marselas
Nov 17, 2021
There’s no more dreading what’s in the box, no fear that you’re getting some dud gift dressed up in the fanciest of double-sided wrapping paper.
New arbitration rule doesn’t have much of a silver lining
By
John O'Connor
Oct 03, 2016
Any way you slice it, last week was a rough one for long-term care operators.
And the Oscar goes to … not this cockeyed production
By
James M. Berklan
Feb 16, 2023
I recently woke up in a fog to the middle of some movie where innocent villagers were being accused by the sheriff of crimes they were certain they hadn’t committed.
Will clear and present danger reveal itself as state mandates increase?
By
Kimberly Marselas
Jul 11, 2023
Nursing home operators in New York and Pennsylvania are stepping into the abyss this month, with no easy way to see just how far they might fall before hitting bottom.
The summer of our nursing homes’ discontent
By
Kimberly Marselas
Jun 01, 2022
Memorial Day weekend usually ushers in a feeling of lightness, but I’m weighed down by uncertainty this year. Will it be a summer of discontent?
Hans and CMS: Two peas in a value-based pod
By
James M. Berklan
Feb 02, 2024
In another life, in another millennium, on another continent, your faithful scribe was an auto factory worker. This led to many unexpected insights into human nature that I still recall decades later....
It’s time to put up or shut up on vaccine mandates
By
James M. Berklan
Aug 20, 2021
Will Wednesday’s White House announcement that COVID-19 vaccinations will be mandated for nursing home employees be a dealbreaker? It depends.
CMS gives providers a mug with a gift card
By
Elizabeth Newman
Nov 28, 2017
Never have Rolling Stones’ lyrics come faster into my head than when I saw the Centers for Medicare & Medicaid Services would give an 18-month enforcement delay for certain Phase 2 regulations.