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.
Providers refocus on 15% drug reduction
By
Tim Mullaney
Jun 01, 2013
Skilled nursing providers fell short of reaching a 15% reduction in off-label antipsychotic use by the end of 2012, the American Health Care Association formally announced last month. However, AHCA did...
Nursing home residents are allowed to designate organizations as authorized representatives for Medicaid...
By
Tim Mullaney
Jul 16, 2013
In the final rule, CMS confirmed that organizations may serve as representatives, specifically citing the needs of nursing home residents who do not have family available for assistance. The rule also...
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
CMS is failing to ensure that terminated skilled nursing facilities and other providers are not billing...
By
Tim Mullaney
Mar 28, 2014
The Centers for Medicare & Medicaid Services needs to do a better job of ensuring that terminated Medicaid providers in a particular state, including skilled nursing facilities, don’t reappear in...
CMS wants tougher emergency prep rules
By
Tim Mullaney
Feb 01, 2014
Long-term care facilities would have to meet more comprehensive emergency preparedness guidelines if a newly proposed rule from the Centers for Medicare & Medicaid Services is enacted.
The government plans a ‘computer matching program’ to combat improper Medicare, Medicaid...
By
Tim Mullaney
Sep 08, 2014
The government plans to start a “computer matching program” to reduce improper payments from government health programs to providers and other entities, the Centers for Medicare & Medicaid...
CMS updates manual to reflect F-Tag guidance dating back to 2003
By
Tim Mullaney
Jul 08, 2014
The Centers for Medicare & Medicaid Services has revised the manual that long-term care facility surveyors refer to, updating interpretive guidelines related to F-Tags.
SNFs may help enroll: CMS
By
Tim Mullaney
Aug 01, 2013
Organizations may serve as authorized representatives for nursing home residents in the Medicaid application and enrollment process, according to a final rule issued by the Centers for Medicare & Medicaid...
Hospice billings changed
By
Tim Mullaney
Oct 01, 2014
The Centers for Medicare & Medicaid Services recently updated instructions on coding hospice claims. Billing staffs should be aware of these changes, which went into effect Oct. 1, CMS stated in a memorandum...