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,...
Regulators go overtime fielding comments and questions on nursing home star-rating system
Jun 25, 2008
While the focus of regulators’ “Open Door Forum” conference call Tuesday might have first appeared to be about getting ready for the December rollout of a new nursing home ranking system,...
Next SNF/LTC Open Door Forum on Thursday
By
James M. Berklan
Jan 21, 2022
The Centers for Medicare & Medicaid Services will conduct its next SNL/LTC Open Door Forum conference call at 2 p.m. ET Thursday.
New CMS vaccination reporting mandate could drive nursing homes to reach 75% staff goal
By
Danielle Brown
May 12, 2021
Providers say they are onboard with a new COVID-19 vaccination reporting mandate announced by federal health officials on Tuesday — calling the additional transparency “critical” for the industry...
Nursing homes face threats of citations, penalties if they restrict visitor access without good cause
By
Danielle Brown
Sep 18, 2020
Providers who fail to facilitate in-person visitations “without a reasonable clinical or safety cause” could be cited and face other penalties under new guidance issued Thursday by the Centers for...
Nursing homes with staffing shortages more susceptible to COVID-19 spread: study
By
Danielle Brown
Aug 13, 2020
Facilities with higher Five-star ratings for nurse staffing were less likely to have COVID-19 cases when compared with lower-rated providers, according to a new research letter published in the Journal...
CMS now using 14 days of data to calculate COVID-19 county positivity rate; HHS could improve nursing...
By
Danielle Brown
Sep 23, 2020
The Centers for Medicare & Medicaid has modified its methodology used for classifying county-level COVID-19 data that determines how often nursing homes will have to test staff members for the disease.
CMS announces expansion of psychiatric services for seniors
By
McKnight's Staff
Mar 13, 2012
The Centers for Medicare & Medicaid Services is launching two new initiatives that may improve mental health services for seniors and nursing home residents.
CMS wrongly allowed nursing homes $18 million in medical equipment, investigators say
By
Elizabeth Newman
Jul 02, 2018
The Centers for Medicare & Medicaid Services did not detect $18.4 million in inappropriate claims for durable medical equipment in skilled nursing facilities, despite having systems intended to catch bad...
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...