Medicare auditors exaggerating predictions of insolvency, providers say
By
John Hall
Mar 12, 2015
Recovery audit contractors continue to bemoan an audit moratorium and are now saying it is contributing to dire predictions about Medicare program solvency. A RAC group says that General Accountability...
New EHR bills would improve interoperability
By
John Hall
Mar 11, 2015
On the heels of a Centers for Medicare & Medicaid Services pledge to ease electronic health record implementation reporting rules several weeks ago, newly introduced legislation would facilitate greater...
AHCA pitches ‘permanent’ therapy payment system
By
John Hall
Mar 06, 2015
Nursing homes’ biggest national ally and advocate is making the rounds on Capitol Hill this week in an effort to convince Congress to let die a lengthy experiment to withhold therapy claims while...
Benefits of aneurysm screenings doubtful, say researchers
By
John Hall
Mar 05, 2015
British researchers warned this week that routine screening for abdominal aortic aneurysms (AAA) in over-65 males may be doing more harm than good.
New Medicare ACO to be unveiled soon
By
John Hall
Mar 02, 2015
The government’s top health insurer has announced that providers could get a first look at a new type of Medicare accountable care organization this month. It has been modeled closely after a controversial...
Controversial Medicare auditors group changes name, website
By
John Hall
Mar 02, 2015
A Medicare payment watchdog group saddled with huge case backlogs and heavily criticized for causing delays in resolving reimbursement issues has changed its name and location on the web.
Providers ponder prospect of Supreme Court killing Obamacare
By
John Hall
Feb 26, 2015
Individuals struggling to make ends meet and long-term care providers relying on a solvent Medicaid program could be on opposite ends of the verdict when the U.S. Supreme Court begins deliberations on...
Slavitt, Conway rise in rank at CMS
By
John Hall
Feb 25, 2015
A number of internal promotions and a few staff acquisitions from a Health and Human Services’ insurance unit highlight a series of leadership changes at the Centers for Medicare & Medicaid Services,...
Medicaid expansion plans fade in several states
By
John Hall
Feb 25, 2015
Several so-called “red states” are leaning toward or have outright abandoned plans to allow expansion of their Medicaid programs, bucking a nationwide groundswell of program enrollment under...
RAC groups battle provider plea for short-stay payment relief
By
John Hall
Feb 19, 2015
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...