Feds ease auditing reviews, anti-fraud efforts to surge
By
John O'Connor
Dec 01, 2013
Providers likely will embrace House legislation that eases billing reviews for operators deemed a low fraud risk.
Government saved $17.6 billion in 2011 due to fraud prevention programs
Nov 16, 2011
A government crackdown on improper payments in federal programs, such as Medicare and Medicaid, cut wasteful payments by $17.6 billion in 2011, the Office of Management and Budget reported Tuesday. The...
Don’t consolidate quality groups to regionals: AHCA
By
James M. Berklan
Sep 01, 2013
The Centers for Medicare & Medicaid Services should not waver from its long-standing support of state-based quality improvement organizations, the American Health Care Association and nearly 50 other organizations...
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
New CMS letter offers revised infection control guidance for F-441
Aug 19, 2009
Information about implementing an infection prevention program, recognizing and containing outbreaks, and proper handling of linens are all part of revised guidance for F-tag 441.
New Medicaid regulations give states flexibility with home and community based services
By
McKnight's Staff
Apr 10, 2012
State Medicaid programs have been granted additional flexibility in providing home- and community-based services to elderly and disabled individuals, according to new regulations.
AHCA: Changing QIO structure would compromise skilled care
By
Tim Mullaney
Aug 14, 2013
The Centers for Medicare & Medicaid Services should preserve state-based quality improvement organizations for Medicare oversight, according to a large number of healthcare groups, including the American...
CMS remains positive about Five-Star rating system despite criticism from attorneys general
Sep 03, 2009
The Centers for Medicare & Medicaid Services responded to a letter from 31 of the nation’s state attorneys general who criticized the nursing home Five-Star Quality Rating System. In a statement,...
Government offers funds to help switch seniors from terminated Fox Insurance plan
Mar 17, 2010
Some states will receive additional funding for insurance information programs for seniors after the Centers for Medicare & Medicaid Services terminated a federal contract with Fox Insurance Company.
CMS frees up $275 million for state coordinated care initiatives
By
McKnight's Staff
Jul 23, 2012
States eager to test payment reform models for federal health programs can apply for awards totaling $275 million, courtesy of the Centers for Medicare & Medicaid Services.