HHS wants $10 million potential payday for Medicare fraud whistleblowers
By
McKnight's Staff
Apr 26, 2013
The Department of Health and Human Services is trying to encourage Medicare fraud whistleblowers by substantially increasing their potential reward. The current maximum award of $1,000 would go up to $9.9...
Major new Medicaid rule exempts nursing home residents
Dec 04, 2008
A major new Medicaid regulation gives states “unprecedented flexibility” in configuring their Medicaid programs. Exempted from the rule are nursing home residents, Medicare beneficiaries and...
With ICD-10 transition date firm and testing imminent, Medicare agency releases new provider resources
By
Tim Mullaney
Feb 28, 2014
Long-term care providers can refer to newly released materials about looming ICD-10 testing and the overall transition to the new coding system, but they should not expect any delay in the Oct. 1 transition...
New calculation method would reduce readmissions penalties, CMS says
By
McKnight's Staff
Apr 30, 2013
The Centers for Medicare & Medicaid Services has proposed changing the way hospital readmission penalties are calculated as part of its 2014 Medicare rate update. Potential readmissions penalties for long-term...
Sharpen Medicaid Integrity auditing, OIG advises
By
McKnight's Staff
Mar 23, 2012
Medicaid Integrity Contractors failed to find overpayments in the majority of their audits for the first half of 2010, leading the Office of Inspector General to recommend that the Centers for Medicare...
LeadingAge: Tough times ahead for long-term care providers
Nov 30, 2011
LeadingAge President and CEO Larry Minnix openly acknowledged Wednesday afternoon that the next two years could be tense and difficult for long-term care providers. He was just one of a handful of experts...
Not so fast: Providers must check to make sure their state permits POC COVID-19 testing devices, guidance...
By
Liza Berger
Jul 31, 2020
As nursing homes wait for point-of care testing instruments and supplies to arrive from the federal government, they first should make sure they are complying with state public health guidelines regarding...
More than $80 million paid out to Pioneer ACO beneficiaries, report finds
By
Elizabeth Newman
Jan 05, 2015
Nearly $81 million has been made in payments on behalf of beneficiaries in Pioneer accountable care organizations through Sept. 30, a new report finds.
Feds’ proposal to extend COVID-19 waivers would keep some telehealth expansions but could deliver rehab...
By
James M. Berklan
Aug 04, 2020
As expected and hoped for by many healthcare providers, the Centers for Medicare & Medicaid Services on Monday proposed permanently adopting some telehealth and therapy coverage expansions during the COVID-19...
New MDS training video addresses discharge assessments, use of dashes
By
McKnight's Staff
Jun 06, 2013
Providers can now access a training video on discharge assessments and how to properly code using dashes in the Minimum Data Set, the Centers for Medicare & Medicaid Services announced Thursday.