More targeted Medicare claims reviews coming, former agency examiner says
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Apr 05, 2017
An evolving Medicare integrity program and improved data analytics will put providers on the receiving end of more targeted claims reviews, one industry expert warned on Tuesday.
CMS seeks comment on two-midnight rule following court decision
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Dec 01, 2015
The Centers for Medicare & Medicaid Services is seeking input on a section of its two-midnight policy that would cut inpatient payments to hospitals, after a judge ruled the cuts need to be better justified.
Provider hit with class action lawsuit over inaccurate background check report
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Apr 25, 2017
An Indiana-based healthcare management group is facing a class action lawsuit after one applicant claims she was denied a job at the company due to an allegedly false background check report.
CMS opens data to private and commercial sector research
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Jun 04, 2015
Entrepreneurs and other private-sector researchers will soon be able to access data from the Centers for Medicare & Medicaid Services, including the Medicare fee-for-service claims database, for commercial...
Groups call for delay of ‘costly’ mega-rule
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Oct 06, 2017
The next phases of the new requirements of participation should be delayed to relieve burden on providers, LeadingAge told lawmakers in late August.
Provider groups call for big changes to value-based purchasing bill
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Sep 16, 2016
A House bill that would establish a value-based purchasing program for post-acute care needs major revisions before it earns providers’ support, several industry groups told lawmakers in a letter...
‘Resident for a Day’ program delivers insights, recommendations for LTC leaders
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Nov 13, 2017
A program that placed administrators-in-training into the shoes of nursing home residents helped promote person-centered care, new research finds.
New state law would require anti-abortion messaging in nursing home bathrooms
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Dec 14, 2016
Oklahoma nursing homes will be required to post anti-abortion signs in their public bathrooms by 2018 under a new law.
CMS updates survey procedure for civil rights requirements
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Sep 09, 2016
The Centers for Medicare & Medicaid Services will require Medicare providers to electronically submit proof of compliance with civil rights requirements, according to a memo sent last week.
CMS suspends surveys, allows providers to exceed bed capacity in states hit by Hurricane Harvey
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Sep 06, 2017
The Centers for Medicare & Medicaid Services is extending some flexibilities for Medicare providers in Texas and Louisiana in the wake of Hurricane Harvey, Administrator Seema Verma said on Saturday.