Adding to the ongoing controversy around Medicare’s Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.
Federal government needs to boost Medicaid managed care oversight, GAO says
By
Tim Mullaney
Jun 20, 2014
The government’s oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released...
ACA objection by provider earns temporary injunction
By
Tim Mullaney
Feb 01, 2014
A Catholic long-term care provider and the federal government opposed each other in recent Supreme Court filings over the Affordable Care Act’s so-called “contraception mandate.”
Increase managed care transparency, long-term care providers urge Senators
By
Tim Mullaney
Aug 18, 2014
The government should collect and release more claims information from managed care plans, the nation’s largest long-term care provider association stated in a recent letter to leaders of the Senate...
Cash-strapped feds to cut back Medicare oversight this year, OIG official says
By
Tim Mullaney
May 05, 2014
One of nursing homes’ most vigilant government watchdogs plans to dramatically curb its activities this year, a federal official has told the House Ways & Means Subcommittee on Health. The Department...
Aging experts in Dallas, Washington broadcast the same message: Chronic disease is not inevitable with...
By
Tim Mullaney
Oct 30, 2013
There was synergy between Dallas and Washington, D.C., on Tuesday. Prominent speakers at the LeadingAge conference in Dallas addressed what it means to age well and how people’s understanding of...
Study challenges basic assumptions about C. diff transmission
By
Tim Mullaney
Sep 27, 2013
A new study contradicts widely held assumptions about how Clostridium difficile infection occurs, which may lead long-term care providers to step up control measures.
Catholic long-term care provider claims free speech violations in its full appeal against Affordable...
By
Tim Mullaney
Feb 26, 2014
A Catholic long-term care provider is claiming freedom of speech and religious freedom violations in a much-anticipated legal appeal over the Affordable Care Act’s contraception mandate.
Make therapy caps lower, streamline review process, MedPAC chairman urges House committee
By
Tim Mullaney
Jan 10, 2014
Congress should set lower annual caps on Medicare reimbursements for outpatient therapy and streamline the manual review process for claims exceeding those caps, a Medicare policy expert told the House...
Bill would limit Medicare claim reviews for trusted providers
By
Tim Mullaney
Oct 18, 2013
A bill in the House of Representatives aims to create a “trusted provider” status in the Medicare program, which would potentially streamline the reimbursement and claims review processes for...