CMS widens audits, hones in on Part A claims, expert says
By
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...
Camera policies held up by privacy, litigation concerns
By
James M. Berklan
Aug 06, 2016
In the battle of pros and cons for placing cameras in resident rooms, the potential negative legal and privacy implications are winning out with most providers, new research shows.
CMS makes ‘unprecedented’ quality reporting changes
By
James M. Berklan
Apr 01, 2020
In yet another attempt to offset damage due to the coronavirus pandemic, the Centers for Medicare & Medicaid Services has made “unprecedented” changes for providers taking part in Medicare quality...
Higher regulatory demands, money for hospice providers
By
James M. Berklan
Sep 01, 2011
When others were sweating out funding threats or declines, hospice providers were able to enjoy the announcement of a 2.5% rise in Medicare payments for fiscal 2012. The Center for Medicare & Medicaid...
Bundled payment initiative for providers coming: CMS
By
James M. Berklan
Oct 01, 2011
Post-acute care providers will be among those affected under a new initiative that will provide bundled Medicare payments.
Feds recover $10 million in incorrect Medicaid payouts
By
James M. Berklan
Apr 01, 2014
Federal investigators recovered more than $10 million in incorrect Medicaid payments made to nursing homes in 2013, an annual review shows.
CMS names 5 new triggers that lead to extra surveys
By
James M. Berklan
Feb 01, 2021
The Centers for Medicare & Medicaid Services has revised the criteria that require states to conduct the specific surveys, the agency noted in a memo to state survey agencies Jan. 4.
CMS wants tighter oversight for Medicare prescriptions
By
James M. Berklan
Feb 01, 2014
The Centers for Medicare & Medicaid Services has seen enough and wants to gain more control over drug-prescribing practices for the Medicare Part D program.
A homecare discharge may hike readmission risk: study
By
James M. Berklan
Aug 01, 2019
Regulators’ push to send more frail elderly people home to receive care received a ringing non-endorsement from University of Chicago researchers recently.
A “punt” by the U.S. Supreme Court left long-term care providers breathing a deep, maybe temporary, sigh of relief regarding California’s proposed Medicaid funding cuts.