Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
Added scrutiny forces state to triple nursing home citation amounts
By
Kimberly Marselas
Mar 24, 2023
Local media coverage has now led to the tripling of fines levied on Iowa nursing homes at least three times after state officials initially ignored a state mandate regarding repeat offenses.
Layering of fines amid state, federal staffing rule conflicts tops providers’ worry list
By
Kimberly Marselas
May 02, 2024
Providers in states that have recently increased their own nursing home staffing requirements may soon find themselves playing a complicated penalties and numbers game — and buried in additional paperwork.
Nursing home averts picket after promising $80K in bonuses
By
Kimberly Marselas
Oct 26, 2023
A group of nursing home workers who threatened to picket their employer this week put down the placards after being promised more than $80,000 in bonuses their union says they are owed.
With scope unknown, nursing homes brace for new schizophrenia audits
By
Kimberly Marselas
Feb 10, 2023
Three weeks after federal officials announced they would begin auditing nursing homes for overuse of schizophrenia diagnoses, providers are still looking for answers about what those investigations will...
Feds extend window for Provider Relief Funds, but will it matter?
By
Kimberly Marselas
May 11, 2023
Skilled nursing operators that didn’t land Provider Relief Funding in the federal COVID program’s final award phase might be in for a surprise — or they could ultimately face another round of disappointment.
New federal initiatives increase criminal enforcement concerns for nursing homes
By
Kimberly Marselas
Jan 03, 2024
Already facing heightened regulatory pressure, skilled nursing operators could find themselves the subject of more criminal investigations in 2024 with the Biden administration ramping up efforts to investigate...
Nursing home fights for right to end temporary bonuses, avoid $369K payout
By
Kimberly Marselas
Apr 15, 2024
Can a nursing home end an emergency bonus program for unionized workers without negotiating after a contract has expired?
Medicare Advantage plan settles upcoding allegations for $22.5M
By
Kimberly Marselas
Aug 02, 2023
A Medicare Advantage plan will pay $22.5 million to settle allegations that it systematically reviewed patient charts to tack on additional charges before submitting claims to Medicare, federal law enforcement...
Audits trigger new concern over aging CMS antipsychotic standards
By
Kimberly Marselas
May 03, 2023
Worries over federal audits designed to monitor nursing homes for inappropriate schizophrenia diagnosing continued to mount as some providers learned they had “failed” their check-ups months into the...