CMS issues final rule on provider identification number
By
McKnight's Staff
Apr 25, 2012
Providers and suppliers who submit claims to Medicaid and Medicare must include an identification number on enrollment applications and payment claims, according to a final rule.
Capturing acuity: How MDS accuracy has a critical impact on Medicare/Medicaid payment systems
By
Steven Littlehale
Apr 20, 2012
There’s a familiar saying in the industry that “If it’s not documented, then it’s not done.” But what if it is documented, but just not documented correctly?
New SNF business models and alligators
By
John O'Connor
Apr 02, 2012
There’s an old adage that goes something like this: It’s hard to remember that your objective was to drain the ditch when you are up to your waist in alligators.
Affordable Care Act provides help for nursing homes, brief says
Jan 31, 2012
The Affordable Care Act benefits nursing homes and other residential care facilities, according to an amicus curiae brief filed in the Supreme Court by six aging groups.
CMS provides answers to auditor questions
Jan 09, 2012
Medicaid Recovery Audit Contractors will not be replacing existing program integrity contractors, according to new guidelines from the Centers for Medicare & Medicaid Services.
Yes, it was a good year
By
John O'Connor
Dec 22, 2011
If you’re like most operators, you’re probably staggering toward the end-of-year holidays. And your unsteady gait may have nothing to do with spiked eggnog.
How to make your nursing facility RAC-ready
By
Bryan Baird
Nov 08, 2011
As skilled nursing facilities adjust to the changes to Medicare that arrived early last month, they must be ready for Recovery Audit Contractors. RACs are independent auditors for the government that are...
Court: Mandatory copayments by Medicaid recipients violate federal law
Aug 26, 2011
A U.S. Circuit Court of Appeals in Arizona ruled that requiring state Medicaid recipients to pay copayments for medical care and prescription drugs violates federal law.
PointRight develops new Medicaid case mix management tool with Zimmet
By
Steven Littlehale
Aug 03, 2011
PointRight Inc. announced the development of CMI Now. This comprehensive Medicaid Case Mix Index management tool helps post-acute providers in New York and New Jersey better monitor and manage their Medicaid...
White House, Baucus, support ‘blended’ Medicaid payments
Jul 08, 2011
Senate Finance Committee Chairman Max Baucus (D-MT) said Wednesday that a proposal to implement “blended” payment rates for Medicaid is “on the table” in negotiations over raising...