Providers to need NPI for Medicare, Medicaid enrollment and reimbursement
May 05, 2010
In an effort to crack down on healthcare fraud, the Centers for Medicare & Medicaid Services this summer will require all providers and suppliers who qualify for a National Provider Identifier (NPI) to...
Lawmakers tack on Medicaid moratorium bill to major spending measure
May 08, 2008
House Democrats this week attached a high-profile Medicaid moratorium bill to war-funding legislation in an attempt to ensure the bill’s passage.
States must rethink nursing home financing to drive transition to managed care: report
By
Danielle Brown
Apr 04, 2022
States must change the way they pay for nursing home services as they transition to managed care, and luckily they have multiple options to do so, according to a new report released Friday by Advancing...
Vote expected soon on Senate healthcare reform bill
Oct 08, 2009
A vote on Senate Finance Committee healthcare reform legislation could occur by the end of this week. The 262-page bill contains a number of amendments that could affect long-term care supports and services.
Medicaid reform pilot to enhance choices confuses beneficiaries
Oct 17, 2008
A Florida pilot program designed to give Medicare beneficiaries more choice and control concerning their healthcare plans has led to more confusion than anything else, according to a recent review by the...
Providers poke holes in calls to make ‘dangerous’ state Medicaid suspensions a national model
By
Josh Henreckson
Mar 29, 2024
Consumer advocates cheered when the New Jersey State Comptroller recently suspended four nursing homes from Medicaid — calling the enforcement tactic a “model for nursing home enforcement nationwide.”...
Healthcare reform bill to delay implementation of RUG-IV until 2011
Mar 23, 2010
The RUG-IV classification system will not start until Oct. 1, 2011, under the new healthcare reform bill.
Sheehan warns doctors about new Medicaid overpayment policies
Oct 21, 2010
Healthcare reform law provisions pertaining to reporting and returning overpayments present a critical Medicaid challenge facing physicians next year, New York State Medicaid Inspector General Jim Sheehan...
Nursing-home study: Inspection system ‘broken and can’t be fixed’
Aug 13, 2008
A leading nursing-home association is calling for an independent panel to come up with new methods for overseeing nursing facilities. The association’s task force issued 31 recommendations Tuesday,...
Prevalence of Alzheimer’s disease sparks health reform recommendations
Aug 25, 2008
The U.S. healthcare delivery system may not be equipped to handle the expected growth in patients with Alzheimer’s disease, according to a new report by Avalere Health.