Extra audits clog and freeze Medicare appeals process
By
James M. Berklan
Mar 01, 2014
Providers who want to have an administrative law judge consider a Medicare claim appeal can save their breath and memos for now.
When the star goes down and payment’s involved, beware
By
James M. Berklan
Jul 22, 2016
A leader in the quest to increase long-term care insurance activity delivered a blow to its followers this week. The fallout might not be pretty.
CMS looking for accountable care organization comments and new Pioneer ACO participants
By
James M. Berklan
Dec 23, 2013
The Centers for Medicare & Medicaid Services announced Friday that it is seeking a second round of applicants to the Pioneer ACO Model.
Campaign to archive dementia love stories stumbles
By
James M. Berklan
Jun 03, 2015
Jane Youell appeared to have hit the jackpot with her timing, but now that’s exactly what she still needs: a financial jackpot. The British researcher is attempting to build a first-ever love-and-dementia...
Supervisor let resident die, covered it up, state charges
By
James M. Berklan
Jul 01, 2014
A nursing home supervisor in New York allegedly failed to administer CPR or direct staff members to do so, criminally allowing a resident to die, the state attorney general’s office has charged.
Providers have the right friends in next coronavirus relief battle
By
James M. Berklan
Jul 10, 2020
Despite the many uncertainties that come with politics, providers can take comfort regarding their next quest for coronavirus relief.
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...
ACHCA postpones conference nearly 4 months
By
James M. Berklan
Apr 03, 2020
The American College of Health Care Administrators has announced that it is moving its annual meeting to Aug. 30 to Sept. 2.
Lawmakers: Phase 2 can wait
By
James M. Berklan
Dec 06, 2017
Two dozen senators made what amounted to a last-ditch effort to get implementation of Phase 2 of the Requirements of Participation delayed in late November.
Deadline for mental health plan comments midnight Monday
By
James M. Berklan
Aug 15, 2014
Advocates for better mental health services for adults will be pressing until at least midnight Monday to have comments submitted to include seniors in a new federal behavioral health plan,