Agencies seek feedback on quality measure reporting
By
John Hall
Feb 04, 2016
Nursing homes were allowed a 30-day window last month to give the Centers for Medicare & Medicaid Services a piece of their mind about the way the agency certifies and tests electronic health record products.
Rise in improper payments
By
John Hall
Jan 04, 2016
Improper payment levels continue dogging the Centers for Medicare and Medicaid Services, which announced they rose significantly last year for both health programs. Additionally, the agency reported that...
GAO: Managed care growth putting Medicaid funds at risk
By
Elizabeth Newman
Jan 04, 2016
End-of-year comments from the comptroller general indicated ways the Medicaid and Medicare programs can continue to improve, including the Centers for Medicare & Medicaid Services increasing its oversight...
OIG: Tougher 2016 probes
By
John Hall
Dec 04, 2015
Providers should expect more aggressive federal efforts to investigate healthcare fraud cases as the Department of Health & Human Services makes use of sophisticated data analytics in the coming year.
Providers fret bundled pilot
By
John Hall
Nov 05, 2015
Provider advocates generally accept a proposal to bundle Medicare payments for one of the most common orthopedic procedures, but many believe the plan is being rushed while serious concerns about issues...
MedPAC begins working on unified post-acute pay plan
By
John Hall
Nov 05, 2015
The Medicare Payment Advisory Commission is devising a plan that would pay skilled nursing facilities, inpatient rehabilitation facilities, home health agencies and long-term care hospitals under a unified...
Ask the Payment Expert about … expedited review
By
Patricia Boyer
Sep 04, 2015
The expedited review process was developed so a resident could quickly appeal the process if he or she disagreed when a facility decided that a resident is no longer covered under skilled services.
State’s Medicaid managed care data lacking, OIG says
By
Elizabeth Newman
Aug 05, 2015
The Office of the Inspector General recommended that the Centers for Medicare & Medicaid Services withhold federal funds from states that do not accurately report encounter data under their Medicaid managed...
Managed care: Fear awaits
By
James M. Berklan
Jul 06, 2015
The White House Office of Management and Budget review has passed an ambitious new policy that could radically overhaul the Medicaid managed care system.
Providers challenge proposal that adjusts payments, care
By
John Andrews
Jun 05, 2015
Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.