Pharmacists warn of prescription denials for Medicaid residents
By
Haymarket Media
Jul 23, 2007
Medicaid beneficiaries in nursing homes and other settings will be denied access to medications starting Oct. 1 if a mandate for “tamper-resistant” prescription pads is not changed. That’s...
CMS announces Medicare appeals without administrative law judge hearings
By
Tim Mullaney
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...
Administration keeps up contraception fight with Little Sisters of the Poor
By
Apr 26, 2017
Negotiations between the federal government and religious groups over the Affordable Care Act’s controversial contraception mandate could stretch on under a motion filed Monday in federal court.
HHS finalizes rule to clean up Medicare claim appeals process
By
Jan 17, 2017
The U.S. Department of Health and Human Services will take aim at its massive Medicare claim appeals backlog with a rule finalized on Friday.
Groups urge Supreme Court to reject FCA provider liability theory
By
Feb 01, 2016
Professional associations are pushing for the Supreme Court to reject a “one-size-fits-all” liability theory under the False Claims Act when the court reviews the issue this year.
Nurse aide admits to stealing, pawning resident’s wedding ring
By
Jan 11, 2016
A former aide at a Minnesota nursing home has admitted to stealing the wedding ring off of a resident’s finger and pawning it over her lunch break.
Federal government joins upcoding case against hospitalist company operating in LTC facilities
By
Tim Mullaney
Dec 10, 2013
The federal government has intervened in a whistleblower lawsuit alleging that a large hospitalist company systematically overbilled government health programs, the U.S. Department of Justice announced...
MedPAC recommends lowering outpatient therapy caps by 33%
By
McKnight's Staff
Nov 05, 2012
Already contentious Medicare Outpatient Part B therapy caps would likely receive even more attention if the Medicare Payment Advisory Commission has its way. MedPAC recommended Thursday that Congress drop...
Feeding tube removal case goes to federal court
By
Haymarket Media
Mar 22, 2005
President Bush signed legislation early Monday that permits a federal judge to intervene in the case of Terri Schiavo, whose feeding tube was removed Friday amid much national protest. The judge heard...
Illuminate HC wins Quality division in McKnight’s Tech Awards
By
Elizabeth Newman
Oct 12, 2017
Illuminate HC operators saw a “consistent and direct” correlation between delays in call-light response times and negative — and avoidable — patient experiences. Their efforts to change...