Study finds ‘no way’ to predict readmission risk in joint replacement cases
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Jan 26, 2017
Healthcare providers are lacking a way to accurately predict readmission among joint replacement patients, despite growing federal scrutiny on the issue, a new study shows.
Many high-need patients missing out on help with ADLs, report shows
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Dec 09, 2016
The majority of high-need patients in the United States who require help with activities of daily living do not have enough support, a new report shows.
Court: HHS has 4 years to eliminate 700,000 Medicare appeals
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Dec 07, 2016
The U.S. Department of Health and Human Services has until Dec. 31, 2020 to eliminate the backlog of pending Medicare reimbursement appeals, a federal court ordered on Monday.
HHS: Medical appeals backlog could be ‘eliminated completely’ by end of FY 2019
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Nov 09, 2016
The overwhelming backlog of Medicare claims appeals may be a thing of the past as early as fiscal year 2019, according to a court brief filed by the Department of Health and Human Services on Monday.
Feds finalize record $145 million settlement with Life Care Centers of America
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Oct 25, 2016
Life Care Centers of America has agreed to pay $145 million to settle claims that it billed for unnecessary therapy services, the Department of Justice announced Monday.
ICD-10 ‘flexibilities’ to expire Oct. 1 as planned
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Aug 24, 2016
A 12-month grace period meant to ease providers’ transition to Medicare ICD-10 will officially come to a close on Oct. 1, Centers for Medicare & Medicaid Officials said last week.
CMS wants 12% decrease in hospital readmissions by 2019
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May 26, 2016
The Centers for Medicare & Medicaid Services is seeking to cut the number of 30-day hospital readmissions by 12% over the next three years under a hospital improvement plan announced Wednesday.
$500,000 verdict reached in Risperdal case
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Dec 15, 2015
A young man who developed enlarged breasts as a side effect of taking the antipsychotic Risperdal has been awarded $500,000 by a jury.
CMS wants more comments on possible overhaul of therapy pay rules
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Nov 03, 2017
Despite the closing of the official comment period, the Centers for Medicare & Medicaid Services officials said Thursday they will still accept feedback from providers on a proposal to replace the current...
MedPAC mulls bigger role for hospital discharge planners
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Oct 06, 2017
Hospital discharge planners may get more flexibility in placing nursing home residents under ideas being considered by the Medicare Payment Advisory Commission.