Ask the payment expert … about continuing RAC requests
By
Patricia Boyer
Jul 01, 2014
I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?
A Day in the Life: Oh, the places they’ll go
By
Jan 08, 2018
It began in 2011 with one resident’s request: He wanted to visit Disney World.
Revised guidelines increase flexibility for additional document request submissions
By
Elizabeth Newman
Sep 26, 2013
The Centers for Medicare & Medicaid Services has decided to ease guidelines concerning auditors’ requests for additional documentation. CMS is giving providers a small break by saying auditors should...
CMS updates SNF Medicare manual to implement sequestration cuts
By
McKnight's Staff
May 16, 2013
The Centers for Medicare & Medicaid Services has updated the online Medicare Provider Reimbursement Manual, modifying instructions related to the 2% reimbursement reductions resulting from sequestration.
Provider requests new trial following jury’s $347 million verdict
By
Apr 03, 2017
A Florida-based skilled nursing chain is requesting a new trial in a case that landed it with a $347 million jury verdict.
State group seeks injunction to force SNF to hand over records in neglect suit
By
Apr 11, 2017
A Michigan disabilities group is requesting an injunction against a nursing home that would force the facility to hand over records.
RAC transition: Fewer document requests but no slowing of therapy reviews, CMS says
By
McKnight's Staff
May 10, 2013
Providers will see fewer Additional Document Requests starting in June, as the Centers for Medicare & Medicaid Services transitions to new Recovery Audit Program contracts. CMS has started the contract...
CMS to grant more flexibility for telemedicine use in Medicare Advantage
By
Marty Stempniak
Oct 30, 2018
The federal government is aiming to expand the use of virtual visits for seniors with requested new changes to Medicare Advantage.
Providers request national flu vaccine strategy from Congress
By
Haymarket Media
Nov 19, 2004
The Centers for Disease Control and Prevention should adopt a national strategy to help state health departments distribute flu vaccine to long-term care patients during shortages like this season’s,...
Governor calls on insurers, Medicaid program to pay providers quicker
By
Danielle Brown
Jan 08, 2020
Nursing home providers in Iowa could see more timely Medicaid reimbursements following a request by the state’s top executive.