Post-acute care largely explains geographic differences in Medicare spending, report affirms
By
Tim Mullaney
Jul 29, 2013
Geographic variances in post-acute care largely account for differences in Medicare spending patterns, supporting healthcare reform measures that encourage better acute and post-acute coordination, according...
Government report describes bungled manual review process for therapy claims
By
Tim Mullaney
Jul 12, 2013
There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle...
Upon further review
By
Kimberly Marselas
Feb 02, 2013
Instead of spending more time doing hands-on patient care, therapists who work with Medicare beneficiaries have been strapped with increased administrative tasks, sometimes leading to delayed services,...
Long-term care pharmacy groups propose changes to make short-cycle dispensing more efficient, cost-effective
By
McKnight's Staff
Feb 05, 2013
Long-term care pharmacies are struggling with an Affordable Care Act provision related to short-cycle dispensing of brand name oral solid drugs, according to a recent letter from the Long Term Care Pharmacy...
The truth can set you free — or put your long-term care facility out of business
By
John O'Connor
Jan 11, 2013
Journalists generally get all warm and tingly when previously guarded information becomes available. It must be in our DNA. So I should probably be cheering ProPublica’s announcement that the government...
CMS angling to ease providers’ burdens from Medicare Administrative Contractors
By
McKnight's Staff
Jan 10, 2013
The Centers for Medicare & Medicaid Services is asking providers to help figure out a way to make demands from Medicare Administrative Contractors less burdensome.
Medicare payment board would slash government payments to SNF providers, paper says
By
McKnight's Staff
Oct 24, 2012
The Affordable Care Act’s controversial Medicare payment board would be an “agent for reimbursement cuts to Medicare,” according to a policy paper released Wednesday.
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
With new rules, more payment denials expected
By
Shelly Mesure, MS, OTR/L
Oct 02, 2012
Here it comes again! The Oct 1, 2012, federal regulatory changes will not only impact reimbursement but new reporting requirements also will multiply denials for skilled nursing providers across the country.
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.