The G-codes are here for payment claims — ready or not
By
Shelly Mesure, MS, OTR/L
May 23, 2013
Effective July 1, the Centers for Medicare & Medicaid Services will begin rejecting claims received for Medicare Part B patients that do not include the new requirement of G-coding. That really means providers...
BREAKING: Federal regulators tout $15M in fines, tripling of ‘Immediate Jeopardy’ citations against...
By
James M. Berklan
Aug 14, 2020
The Centers for Medicare & Medicaid Services announced Friday afternoon that it has levied more than $15 million in fines and tripled the most severe type of citations to nursing homes during the six months...
CMS must refine data on antipsychotic drug use in nursing homes, OIG says
By
Alicia Lasek
May 07, 2021
The Minimum Data Set should not be CMS’ sole source for determining the number of nursing home residents using antipsychotic drugs, according to a new report from HHS’ Office of the Inspector General.
How should long-term care providers celebrate? Let us count the ways
By
James M. Berklan
Mar 31, 2016
Long-term care operators have plenty of reasons to recoil and lick their wounds over the course of a year. But there are also good times when they should find reason to smile. Like this past week.
A win for long-term care: Providers applaud withdrawal of MFAR proposal
By
Danielle Brown
Sep 15, 2020
Providers cheered federal health officials’ decision to withdraw a proposal they warned could cut up to $50 billion nationwide from the Medicaid program annually.
Regulators expected to rescind physician signature requirement for lab requisition forms
Feb 15, 2011
The Centers for Medicare & Medicaid Services has indicated that it might rescind a rule that requires physician signatures on requisitions for all clinical laboratory tests paid for by Medicare, as part...
Report: Long-term care providers pay the price for CMS’ poor auditor oversight
By
Tim Mullaney
Aug 14, 2014
Long-term care and other providers could be facing unfair burdens due to ineffective government oversight of Medicare auditors, according to a new report from a federal watchdog agency.
Do you know your P’s and Q’s of QAPI?
By
Shelly Mesure, MS, OTR/L
Feb 21, 2013
The Quality Assurance and Performance Improvement system from CMS is on our doorsteps. As facilities have been training and educating themselves, the new QIS (Quality Indicator Surveys) are ready to roll....
Failure to prepare for MDS updates in the next 10 days could be costly, expert warns
By
McKnight's Staff
Mar 21, 2012
If skilled nursing facilities are not prepared for the MDS 3.0 changes that will go into effect April 1, 2012, the consequences could be expensive, a top expert warned Wednesday.
CMS proposes 1.3% pay increase — with plenty of strings attached
By
Kimberly Marselas
Danielle Brown
Apr 09, 2021
A proposal that would boost Medicare payments to skilled nursing providers by 1.3% next fiscal year also could trigger additional reporting requirements and increase the potential for penalties.