States bolstering efforts to fight Medicaid waste, fraud in wake of GAO report
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Apr 21, 2017
Many state Medicaid programs are trying to improve their data analytics and provider education to curb fraud and waste within the program — efforts recently criticized in a federal report — one official...
Oh, deer! Surprise visit from doe causes big-buck damage at nursing home
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Apr 19, 2017
Residents and staff at a Nebraska nursing home got a surprise wake-up call Monday morning when a deer burst through a window and ran through the facility.
CMS told to crack down better on improper Medicaid payments
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Apr 19, 2017
The Centers for Medicare & Medicaid Services needs to step up its involvement in states’ Medicaid integrity programs in order to strengthen oversight and identify overpayments, according to a new...
It’s time to take your medicine — seriously
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Apr 18, 2017
People not following their doctors’ medication orders contributes to an estimated 125,000 deaths and 10% of hospitalizations per year, along with somewhere between $100 billion and $289 billion in...
Proposed hospital payment rule includes updates to readmission, HAC programs
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Apr 18, 2017
A proposed rule to update Medicare hospital payments for fiscal year 2018 could mean changes to programs aimed at reducing readmissions and hospital-acquired conditions, officials announced Friday.
Provider consolidation may increase costs, cut quality, researchers tell lawmakers
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Apr 17, 2017
Rising consolidation among healthcare providers, systems and insurers may be causing healthcare costs to rise while care quality suffers, according to a report published last week.
HCP lied to investors about ManorCare’s performance, fraud, lawsuit claims
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Apr 14, 2017
HCP Inc. allegedly covered up ManorCare’s financial performance and fraud allegations when communicating with shareholders, according to a class action lawsuit filed on Monday.
Most-vulnerable SNF residents likely to become victims of sexual assault, report finds
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Apr 13, 2017
Skilled nursing facilities need to improve staff training on detecting and managing sexual assault cases in order to protect their most vulnerable residents, a new academic review asserts.
SNF operator to pay $1 million to settle genetic testing fraud allegations
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Apr 12, 2017
A Louisville, KY-based skilled nursing facility operator has agreed to pay nearly $1 million to clear up claims related to its role in a genetic testing scheme that violated the False Claims Act, the Department...
Provider education efforts on improper billing need improvement, GAO says
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Apr 12, 2017
The Centers for Medicare & Medicaid Services has missed out on opportunities to improve provider education as a way to combat improper Medicare payments, a government watchdog reported on Monday.