CMS widens audits, hones in on Part A claims, expert says
By
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...
The Government Accountability Office recently issued a pair of reports within days of one another critical of how the Medicaid program gathers data and screens its provider participants.
Better anti-fraud efforts are not appeasing lawmakers
By
Tim Mullaney
Aug 01, 2014
Long-term care facilities and other Medicare providers increasingly have seen reimbursements influenced by the government’s Fraud Prevention System, an official recently told a Congressional panel.
States hold the key to new MDS item sets, expert says
By
Danielle Brown
Jun 01, 2020
Providers’ responses to an update of MDS item sets 3.0 (version 1.17.2) will largely depend on what their respective state Medicaid agencies will require under the new format, a payment expert said.