Providers are likely looking forward to a fiscal 2014 with generally stable funding sources and no repeat of a government shutdown. The Senate was expected to vote on and pass a massive $1.1 trillion government...
Medicare appeals at the administrative law judge level will be suspended for two years due to backlog,...
By
Tim Mullaney
Jan 17, 2014
Long-term care providers filing to have a Medicare claims appeal heard by an administrative law judge will not have the case assigned to a judge for at least two years, according to the Office of Medicare...
Make therapy caps lower, streamline review process, MedPAC chairman urges House committee
By
Tim Mullaney
Jan 10, 2014
Congress should set lower annual caps on Medicare reimbursements for outpatient therapy and streamline the manual review process for claims exceeding those caps, a Medicare policy expert told the House...
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
Referrals at risk
By
Julie Williamson
Jan 01, 2014
Interoperability for technology solutions is crucial for long-term care providers.
Budget deal extends Medicare’s 2% cuts
By
Tim Mullaney
Jan 09, 2014
Long-term care providers face an additional two years of reduced Medicare reimbursements under a federal budget compromise hammered out in December.
Nursing home does not need Supreme Court intervention to avoid birth control mandate, feds say
By
Tim Mullaney
Jan 06, 2014
The federal government defended the Affordable Care Act’s so-called “contraception mandate” Friday in a Supreme Court filing against a Catholic long-term care provider. The ACA requires...
Pregnant CNA sues over unpaid leave
By
Elizabeth Newman
Dec 23, 2013
A pregnant certified nursing assistant at a Michigan nursing home has filed a lawsuit, claiming she was forced to take unpaid leave without health insurance.
Provider settles in EEOC Scientology case
Dec 23, 2013
A Florida medical provider has agreed to a settlement over allegations it fired employees who refused efforts to be converted to Scientology.
CMS looking for accountable care organization comments and new Pioneer ACO participants
By
James M. Berklan
Dec 23, 2013
The Centers for Medicare & Medicaid Services announced Friday that it is seeking a second round of applicants to the Pioneer ACO Model.