The Government Accountability Office recently issued a pair of reports within days of one another critical of how the Medicaid program gathers data and screens its provider participants.
Analysis: PAC crucial to joint replacement bundled success
By
John Hall
May 04, 2016
Hospitals participating in a new Medicare bundled payment program for hip and knee replacements should partner with high quality post-acute care providers like nursing homes within the first 90 days following...
MedPAC begins working on unified post-acute pay plan
By
John Hall
Nov 05, 2015
The Medicare Payment Advisory Commission is devising a plan that would pay skilled nursing facilities, inpatient rehabilitation facilities, home health agencies and long-term care hospitals under a unified...
Claims facing more scrutiny from auditors, survey shows
By
James M. Berklan
Oct 01, 2012
If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.
Report: States headed for Medicaid funding upheaval
By
James M. Berklan
Aug 01, 2012
Regardless of whether states choose to expand Medicaid under healthcare reform law, they are facing huge fiscal crisis conditions, largely due to rising healthcare costs and government pension obligations,...
Washington owes Medicaid programs $4 billion, govs say
By
James M. Berklan
Aug 02, 2011
With federal lawmakers trying to figure out ways to cut expenditures, balance the budget and reduce the national deficit, funding to states — and healthcare providers in particular — has frequently...
Cases subject to escrow
By
James M. Berklan
Oct 01, 2013
Federal regulators have expanded the use of escrow accounts so that as of this month, providers will be subject to their use for any kind of deficiency from a standard or complaint survey that draws a...
Feds limit Medicaid picks
By
James M. Berklan
Jan 02, 2013
While the administration has been flexible about numerous aspects of Medicaid expansion called for in the healthcare reform law, there is at least one thing that is not negotiable: States will not get...
CMS wants burdens eased
By
James M. Berklan
Feb 01, 2013
Providers will have their say about the future of Medicare Administrative Contractors.
CMS improperly measuring outcomes, report claims
By
James M. Berklan
Jan 01, 2014
So far, some providers have been put through a wringer without enough verification that it’s been worth it, according to a new Government Accountability Office report.