Providers will have their say about the future of Medicare Administrative Contractors.
CMS improperly measuring outcomes, report claims
By
James M. Berklan
Jan 01, 2014
So far, some providers have been put through a wringer without enough verification that it’s been worth it, according to a new Government Accountability Office report.
Ask the payment expert: How many minutes of therapy should be provided, according to diagnosis?
By
Caryn Adams
Dec 05, 2019
How many minutes of therapy should be provided, according to diagnosis?
Ask the payment expert about …one star
By
Patricia Boyer
Oct 25, 2018
On top of PBJ affecting the star ratings, CMS also is performing on-site and remote audits to verify data submitted. Even if you have a vendor submit your data, it cannot be stressed enough: You are ultimately...
MedPAC focuses on rehab
By
James M. Berklan
Dec 01, 2013
The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.
Ask the Payment Expert? Why am I not receiving incentive payments for FY 2019?
By
Patricia Boyer
Nov 02, 2018
Why am I not receiving incentive payments for FY 2019 SNF Quality Reporting Program (QRP) and Value-Based Purchasing (VBP) are separate, but related, programs. QRP is required by the IMPACT ACT to collect...
Agencies seek feedback on quality measure reporting
By
John Hall
Feb 04, 2016
Nursing homes were allowed a 30-day window last month to give the Centers for Medicare & Medicaid Services a piece of their mind about the way the agency certifies and tests electronic health record products.
Ask the payment expert: I am seeing an increase in Medicare Replacement Policy additional document requests....
By
Caryn Adams
Oct 01, 2020
I am seeing an increase in Medicare Replacement Policy additional document requests. How should we respond?
State’s Medicaid managed care data lacking, OIG says
By
Elizabeth Newman
Aug 05, 2015
The Office of the Inspector General recommended that the Centers for Medicare & Medicaid Services withhold federal funds from states that do not accurately report encounter data under their Medicaid managed...
Court drops backlog order
By
Sep 06, 2017
The Department of Health and Human Services will have another shot at explaining why it believes a four-year timeline for clearing the current Medicare appeals backlog is “impossible,” thanks...