Industry advocates hint new ‘threat’ in trade bill
By
John Hall
May 14, 2015
The ink is barely dry on the historic Medicare Access and CHIP Reauthorization Act of 2015 and long-term care and other lobbyists are already voicing concerns about what ominous funding threat might come...
Also in the News for Thursday, April 30
Apr 30, 2015
More protein at breakfast a wise move for diabetics … Nursing home CEO says he is “stunned” at feds request to return $100M in payments … Physical activity needed after a heart...
Obama sending mixed message on Medicare prescription prices
Apr 30, 2015
Prescription drug prices are likely to resurface as a hot political potato in the looming presidential race, beginning with the president’s recent bombshell that he wants to let Medicare bargain...
CMS reminds providers about new survey appeals process
By
John Hall
Apr 28, 2015
The Centers for Medicare & Medicaid Services recently reminded state survey agency directors that it no longer will accept appeals through the U.S. mail from providers that disagree with actions imposed...
Smart cards would do little to curtail Medicare fraud: GAO
By
John Hall
Apr 28, 2015
Medicare beneficiary smart cards would have a limited impact on reducing fraud and could even introduce “new, more sophisticated fraud schemes,” a new report by the Government Accountability...
Also in the News for Wednesday, April 22
Apr 22, 2015
AHCA joins AHA and other groups in letter opposing sequestration extension … Minnesota nursing home bill would link quality to payments … Georgia Medicaid program owes $100 million in overpayments,...
Colorado latest state to bungle Medicaid claims data: OIG
By
John Hall
Apr 16, 2015
Long-term care providers are struggling to satisfy new mandates over electronic reporting and medical records, and can expect more in the near future. But nothing can compare to the kind of information...
RAC battles move forward
By
Amy Novotney
Apr 06, 2015
The debate over whether Recovery Audit Contractor audits are an incentive-laced system of provider harassment or a necessary tool to redistribute misspent Medicare funds continues. Neither side appears...
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
Profile: Ed McMahon, Ph.D.
By
Amy Novotney
Apr 06, 2015
When he’s not busy working to improve the quality of life of residents at Sunrise Senior Living’s more than 300 assisted living communities, Ed McMahon, Ph.D., can often be found perfecting...