Government watchdog says CMS should continue prior authorization projects
By
Kimberly Marselas
May 22, 2018
A report issued Monday by the Government Accountability Office says the Centers for Medicare & Medicaid Services should extend tests of a prior authorization program that have saved up to $1.9 billion.
RACs push back against audit improvement bills
By
McKnight's Staff
Jun 06, 2013
An advocacy group for independent Medicare auditors has sharply criticized two bills that would put new controls on Recovery Audit Contractors. The Medicare Audit Improvement Act of 2013 was introduced...
Also in the news for June 24, 2014 . . .
Jun 24, 2014
AHCA applauds Senators’ push for expanding vets’ long-term care options … RAND releases policy blueprint for better dementia care … Man pleads guilty in $205M scheme to place assisted...
It’s time to renew your McKnight’s subscription
Apr 20, 2010
Attention McKnight’s Readers: IT’S TIME! Once a year we need you to validate your request to receive McKnight’s for free. It that time! To ensure you continue receiving your copy of the...
SNFs can ask for a 3-month reprieve in quality reporting
By
John O'Connor
Sep 04, 2015
Skilled nursing facilities unable to provide data to the Centers for Medicare & Medicaid Services’ new quality reporting program will have a 90-day window to request an exception or extension, officials...
New bill would limit power of Medicare recovery audit contractors
By
McKnight's Staff
Oct 17, 2012
Legislation introduced Tuesday aims to reduce some of the authority Medicare’s recovery audit contractors (RACs) wield over investigations into provider claims.
State Supreme Court takes on law firm ads targeting nursing homes
By
Apr 28, 2016
Law firms running advertisements against specific nursing homes was debated in the Georgia Supreme Court Wednesday.
RAC audits: Skilled nursing facilities accounted for miniscule portion of 2011 Medicare overpayments
By
McKnight's Staff
Feb 07, 2013
Skilled nursing facilities accounted for only about $200,000 of $797 million in collected Medicare overpayments in 2011 identified by Recovery Audit Contractors, according to an annual audit report released...
Employee fingerprint scans land provider in class-action lawsuit
By
Oct 20, 2017
An Illinois nursing home is facing a class-action lawsuit filed by a worker who argues that the facility’s required daily fingerprint scans pose a threat to their privacy.
Hospice providers to pay $12.2 million to settle kickback allegations involving nursing homes
By
Apr 19, 2017
A North Carolina-based hospice provider and its affiliates will pay $12.2 million to resolve claims that it paid kickbacks to long-term care facilities and other providers in exchange for patient referrals,...