ACA objection by provider earns temporary injunction
By
Tim Mullaney
Feb 01, 2014
A Catholic long-term care provider and the federal government opposed each other in recent Supreme Court filings over the Affordable Care Act’s so-called “contraception mandate.”
Nursing home hospice provider kept patients in hospice for years, overbilled for their care, prosecutors...
By
Tim Mullaney
Jan 28, 2014
An Illinois-based hospice provider overbilled Medicare and Medicaid by inappropriately designating nursing home residents as hospice patients, sometimes for years, according to federal charges announced...
Genesis nursing home illegally reneged on job offer to deaf applicant, government charges
By
Tim Mullaney
Jan 23, 2014
Managers at a New Jersey nursing home owned by Genesis HealthCare withdrew a job offer to a qualified applicant because he is deaf, the U.S. Equal Employment Opportunity Commission is charging in a lawsuit...
Senior living company can pay referral fees for new residents despite kickback concerns, OIG advisory...
By
Tim Mullaney
Jan 23, 2014
A nonprofit senior housing and care provider can continue to pay an agency for referring new residents, despite concerns related to anti-kickback laws, according to a newly released government opinion.
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,...
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...
Congress passes budget that would extend Medicare cuts, soften sequestration
By
Tim Mullaney
Dec 19, 2013
A bipartisan budget deal is on the verge of becoming law, after being passed by the U.S. Senate in a 64-36 vote on Wednesday. Long-term care leaders called for passage of the two-year spending plan after...