Revenues from Department of Health and Human Services Office of Inspector General audits and investigations for the the first half of fiscal 2014 are expected to drop almost $1 billion from the same period...
Joint HHS, Justice efforts recoup $28 billion in Medicare payments
By
John Hall
Mar 19, 2015
The Justice Department announced on Thursday it had captured $3.3 billion from healthcare fraud prosecutions and other deals in 2014, bringing to nearly $28 billion the total amount it has recouped since...
Fee-for-service still consumes most Medicare outlays: Report
By
John Hall
May 07, 2015
Far more than half of the $360 billion in Medicare payments made just two years ago were based on traditional fee-for-service models without regard to quality or value, according to an independent report...
How to do it … better med management
By
John Hall
Jun 06, 2016
Adverse medication events continue to be numerous and problematic, not only for residents’ health but also for financial and legal reasons. Providers continue to thirst for good ideas and best practices....
‘Illusion’ can raise costs
By
John Hall
May 04, 2016
In an effort to improve the use of medical treatments, a University of Pennsylvania Medical School professor is calling for more research to help doctors recognize and manage what some call a “therapeutic...
Pivotal hearing on ICD-10 implementation today: Time to join ‘the rest of the world’
By
John Hall
Feb 11, 2015
Payors, clinicians, suppliers and other staunch advocates of long-awaited ICD-10 codes will urge a House panel today to keep pushing its planned October 1 implementation date.
AHCA pitches ‘permanent’ therapy payment system
By
John Hall
Mar 06, 2015
Nursing homes’ biggest national ally and advocate is making the rounds on Capitol Hill this week in an effort to convince Congress to let die a lengthy experiment to withhold therapy claims while...
Cutting into costs
By
John Hall
Jan 04, 2016
A look inside the mind of lenders in the wake of a skilled nursing cost comparison report reveals reasons for optimism — and concern
Targeting a silent killer
By
John Hall
Jun 06, 2016
Infections may be causing up to 300,000 resident deaths in facilities each year. A new federal program hopes to improve assessments and caregiving practices.
Analysis: PAC crucial to joint replacement bundled success
By
John Hall
May 04, 2016
Hospitals participating in a new Medicare bundled payment program for hip and knee replacements should partner with high quality post-acute care providers like nursing homes within the first 90 days following...