CMS drops appeal in arbitration lawsuit, proposes revisions to agreement requirements
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Jun 06, 2017
In what is being seen as a victory for long-term care providers, the Centers for Medicare & Medicaid Services has abandoned its appeal of a court ruling blocking its prohibition of pre-dispute nursing...
Supreme Court will review what counts as ‘false’ under the False Claims Act
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Dec 08, 2015
The U.S. Supreme Court will review exactly what constitutes a “false” claim under the False Claims Act, due to a petition for certiorari that was granted Friday. Long-term care providers and...
ACHCA’s Marianna Grachek announces retirement
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Jun 25, 2015
Marianna Grachek, who has been president and CEO of the American College of Health Care Administrators for nine years, announced she will retire on July 15.
Clinical competencies crucial to managed care success, experts say
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Apr 20, 2016
Clinical competencies crucial to managed care success, experts say
Use of readmission rates to measure hospital quality ‘problematic,’ researchers say
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Sep 02, 2016
Contradicting previous research, a new study finds hospitals with high readmission rates may have better mortality scores for certain conditions. The study’s authors state that their findings challenge...
Provider groups slam tax cuts in Medicaid bill
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Mar 15, 2016
Legislation that aims to reduce the federal deficit by cutting Medicaid provider taxes has the nation’s largest provider groups crying foul.
CMS’ readmissions reduction program linked to higher death rates for heart failure patients
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Nov 13, 2017
The results of the Centers for Medicare & Medicaid Services’ program to reduce hospital readmissions are being called into question by two new studies — with one suggesting the initiative may have...
SNF fined $120,000 for not notifying doctor of resident’s heart attack
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Jan 11, 2017
An Illinois skilled nursing facility is facing nearly $120,000 in state and federal fines after health officials said it failed to notify a doctor of a resident’s heart attack.
CMS nominee Verma grilled on fraud, fee-for-service at confirmation hearing
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Feb 17, 2017
Seema Verma, President Donald Trump’s nominee to lead the Centers for Medicare & Medicaid Services, told lawmakers on Thursday that she’d make targeting healthcare fraud and abuse a “top...
LPN arrested for falsifying test records about resident’s fall death
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May 17, 2016
A former licensed practical nurse at a Louisiana veterans nursing home was arrested Monday on charges that she falsified records about a resident’s death following a fall.