OIG should streamline Medicare’s self-disclosed overpayment protocol, provider group says
By
McKnight's Staff
Aug 23, 2012
Federal officials need to provide clearer guidance and offer a more streamlined protocol for providers willing to self-disclose Medicare overpayments, a leading long-term care group says.
Providers urge federal investigation into inaccuracy of RAC audits
By
McKnight's Staff
Oct 26, 2012
A major hospital group has called for a federal investigation into mistakes made by recovery audit contractors. “Numerous inaccuracies” often result in improperly denied payments and decisions...
Painkiller restrictions could hamper nursing home residents, providers
By
McKnight's Staff
Jan 29, 2013
Nursing home residents could be adversely affected if proposed painkiller regulations are put in place, according to experts who spoke at a recent federal hearing.
CMS angling to ease providers’ burdens from Medicare Administrative Contractors
By
McKnight's Staff
Jan 10, 2013
The Centers for Medicare & Medicaid Services is asking providers to help figure out a way to make demands from Medicare Administrative Contractors less burdensome.
GAO: Medicaid eligibility screening for long-term care is inconsistent across states
By
McKnight's Staff
Aug 28, 2012
The extent to which states conduct asset verification checks on those seeking Medicaid coverage for long-term care varies greatly by state, a government report finds.
Government presses therapy provider to repay $3 million in Medicare reimbursements
By
McKnight's Staff
Jun 21, 2013
A New Jersey-based outpatient therapy provider should pay back the government for $3.1 million in improper Medicare reimbursements identified in a recent audit, according to the Department of Health and...
Court upholds $5.75 million verdict against former nursing home officers, board members
By
McKnight's Staff
May 24, 2013
A $5.75 million verdict will stand and there will be no new trial in the case against officers and board members of a former Pennsylvania nursing home, a federal judge recently ruled.
Report: CMS needs to improve oversight of nursing home quality program
By
McKnight's Staff
Mar 05, 2012
The Centers for Medicare & Medicaid Services needs to make serious improvements in the tools it uses to evaluate the quality of nursing home care, a federal report reveals.
Long-term care pharmacy groups propose changes to make short-cycle dispensing more efficient, cost-effective
By
McKnight's Staff
Feb 05, 2013
Long-term care pharmacies are struggling with an Affordable Care Act provision related to short-cycle dispensing of brand name oral solid drugs, according to a recent letter from the Long Term Care Pharmacy...
Senators demand more data on Medicare fraud prevention efforts
By
McKnight's Staff
Aug 01, 2012
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.