Healthcare providers were forced to pay nearly $2 billion to resolve federal False Claims Act allegations last year, a historic amount that serves as one of several fresh indicators that federal investigations...
CMS provides first look at shorter, Risk-Based Survey process
By
Kimberly Marselas
Apr 04, 2024
The Centers for Medicare & Medicaid Services on Wednesday revealed initial information about a potential “Risk-Based Survey” option that could be available to some of the nation’s best performing...
Guess what’s coming to nursing homes next
By
Kimberly Marselas
Apr 03, 2024
I remember when the Patient Driven Payment Model rule was just a proposal inching its way toward finalization, its concept of assigning points for specific non-therapy ancillary costs a pretty exciting...
Court again strips CareOne of right to sue unions for ‘extortion,’ ‘defamation’
By
Kimberly Marselas
Apr 02, 2024
A case involving ugly contract negotiations, allegations of vandalism and self-sabotage, and the possible defamation of a major nursing home chain by union representatives, has been partially dismissed...
Provider sues agency for routine overbilling, unscrupulous practices that led to $5M bill
By
Kimberly Marselas
Mar 21, 2024
A multi-facility skilled nursing operator has filed a lawsuit against the staffing platform Nursa, alleging the app-based agency routinely overbilled for staff that failed to show up for shifts and refused...
‘Whistleblower’ owes landmark $1.1M to nursing home for groundless False Claims case
By
Kimberly Marselas
Mar 20, 2024
A judge has awarded a landmark $1.1 million in attorney fees to a nursing home targeted in a False Claims case found “frivolous” for its reliance on publicly available and false information.
Fallout from clearinghouse attack continues to mushroom
By
Kimberly Marselas
Mar 13, 2024
It seemed improbable the first time someone told me the fallout from the cyberattack on the Change Healthcare platform might last for weeks, or for months even.
Physician 1.7 percent pay fix fails to account for full cuts to therapists, other SNF providers
By
Kimberly Marselas
Mar 06, 2024
Congressional leaders have agreed to increase physician pay by 1.68% starting next week, but that raise still would not make whole a 3.37% cut initiated by the Centers for Medicare & Medicaid Services...
Massive cyber attack creates crushing billing burdens for skilled nursing; sparks efforts for payment...
By
Kimberly Marselas
Mar 01, 2024
A cyberattack that has shut down the nation’s largest healthcare billing clearinghouse and impacted dozens of related services for 10 days is delaying payments, threatening major cash flow issues for...
COVID negligence case sent back to state court, over providers’ repeated objections
By
Kimberly Marselas
Feb 21, 2024
A group of owners and operators who have tried at least three times to argue that the COVID-related civil cases in which they are embroiled belong in federal court has been defeated again.