CMS announces lower minimum request limit for recovery audit contractors
By
McKnight's Staff
Apr 09, 2013
Medicare recovery audit contractors (RACs) can request as few as 20 records in a 45-day period from skilled nursing facilities and other providers as of April 15, according to the Centers for Medicare...
Court grants AHCA’s request for injunction of arbitration ban
By
Nov 08, 2016
A federal court on Monday granted the American Health Care Association’s motion to stop the ban on the use of pre-dispute arbitration agreements before it takes effect on Nov. 28.
CMS final rule: SNFs to receive $30 million less in Medicare payments than initially proposed
By
Tim Mullaney
Aug 02, 2013
A Medicare payment rate update will increase aggregate skilled nursing facility reimbursements by $470 million during fiscal year 2014, according to a final rule issued by the Centers for Medicare & Medicaid...
Stability sought via budget deal
By
James M. Berklan
Jan 17, 2014
Providers are likely looking forward to a fiscal 2014 with generally stable funding sources and no repeat of a government shutdown. The Senate was expected to vote on and pass a massive $1.1 trillion government...
HIPAA audits intensify with document requests for ‘unlucky’ providers
By
Jul 19, 2016
More than 150 healthcare organizations received document requests last week as part of the second phase of HIPAA audits, according to the Health and Human Services Office for Civil Rights.
Ask the payment expert … about continuing RAC requests
By
Patricia Boyer
Jul 01, 2014
I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?
A Day in the Life: Oh, the places they’ll go
By
Jan 08, 2018
It began in 2011 with one resident’s request: He wanted to visit Disney World.
Revised guidelines increase flexibility for additional document request submissions
By
Elizabeth Newman
Sep 26, 2013
The Centers for Medicare & Medicaid Services has decided to ease guidelines concerning auditors’ requests for additional documentation. CMS is giving providers a small break by saying auditors should...
CMS updates SNF Medicare manual to implement sequestration cuts
By
McKnight's Staff
May 16, 2013
The Centers for Medicare & Medicaid Services has updated the online Medicare Provider Reimbursement Manual, modifying instructions related to the 2% reimbursement reductions resulting from sequestration.
Provider requests new trial following jury’s $347 million verdict
By
Apr 03, 2017
A Florida-based skilled nursing chain is requesting a new trial in a case that landed it with a $347 million jury verdict.