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...
Nursing home operators hail ‘historic’ Senate passage of permanent ‘doc fix’...
By
James M. Berklan
Apr 15, 2015
The Senate overwhelmingly voted to pass H.R. 2 Tuesday night, paving the way for repeal of the Medicare Sustainable Growth Rate and drawing the praise of the largest nursing home association in the country.
CMS actuary throws cold water on ‘doc fix’ bill projections
By
John Hall
Apr 12, 2015
Long-term care leaders who have widely endorsed a House proposal to permanently “fix” the Sustainable Growth Rate formula, might be suffering buyer’s remorse after learning Friday that...
Nursing home groups support ‘doc fix’ bill
By
Elizabeth Newman
Mar 24, 2015
Leaders of the nation’s two largest long-term care associations spoke favorably Monday about a bill that would improve Medicare physician pay rates while moderately restricting LTC pay. In fact,...
Inspector General blasts agency for ignoring ZPIC scrutiny
By
John Hall
Mar 19, 2015
Ignoring a four-year-old warning to more thoroughly evaluate Medicare auditing contractors is among the pile of unheeded advice that could have saved the Medicare program billions of dollars in recent...
New Medicare ACO to be unveiled soon
By
John Hall
Mar 02, 2015
The government’s top health insurer has announced that providers could get a first look at a new type of Medicare accountable care organization this month. It has been modeled closely after a controversial...
RAC groups battle provider plea for short-stay payment relief
By
John Hall
Feb 19, 2015
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...
The Jimmo scorecard and CMS compliance update
By
Steven Littlehale
Nov 25, 2014
In some ways, 2014 has been a monumental year. But it’s not over yet, especially with regard to Centers for Medicare & Medicaid Services steps regarding the historic Jimmo settlement agreement signed...
Providers must see clearly before they CHOW down
By
Richard Cheng
Sep 29, 2014
When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or “CHOW.” Because this could wind up endangering a Medicare provider...
Government plan calls for increased surveillance, prosecution to combat elder abuse
By
Stephanie H. Kim
Jul 10, 2014
Elder abuse is inflicted upon many of the more than 2 million Americans in long-term care settings, and more oversight is needed, according to a government report published Wednesday.