The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.
Agencies seek feedback on quality measure reporting
By
John Hall
Feb 04, 2016
Nursing homes were allowed a 30-day window last month to give the Centers for Medicare & Medicaid Services a piece of their mind about the way the agency certifies and tests electronic health record products.
State’s Medicaid managed care data lacking, OIG says
By
Elizabeth Newman
Aug 05, 2015
The Office of the Inspector General recommended that the Centers for Medicare & Medicaid Services withhold federal funds from states that do not accurately report encounter data under their Medicaid managed...
Court drops backlog order
By
Sep 06, 2017
The Department of Health and Human Services will have another shot at explaining why it believes a four-year timeline for clearing the current Medicare appeals backlog is “impossible,” thanks...
Panel slams fee for service
By
Amy Novotney
Jul 01, 2014
The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation’s healthcare system, according to a May 29 report from a panel of White House advisors....
More hospice info wanted
By
James M. Berklan
Sep 01, 2013
Federal regulators have added another layer of bureaucracy for hospice providers operating within skilled nursing facilities.
Medicare appeals backlog to be fixed by 2020, HHS says
By
James M. Berklan
Dec 06, 2016
Federal health officials say tweaks to the system will enable them to eradicate a massive backlog of Medicare decision appeals in 2019. They made the prediction in a court brief filed in U.S. District...
Groups tout payment plans; Pallone promises legislation
By
John Hall
Apr 04, 2016
Several organizations have weighed in on how to finance long-term care services and supports for more than 12 million Americans, leading a Congressional committee to push toward a possible legislative...
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
Medicare has two more years to reclaim any overpayments
By
James M. Berklan
Feb 01, 2013
Providers will have to hold their breath a little longer after receiving Medicare payments, thanks to a little-publicized provision of recently signed fiscal cliff legislation.