Data mandated for dual eligibles outlined as states move to managed care
By
Elizabeth Newman
Jun 10, 2013
Dual eligible managed care plans involved in an upcoming Centers for Medicare & Medicaid Services demonstration project will need to submit data in a variety of areas, the agency explained in a draft statement...
CMS angling to ease providers’ burdens from Medicare Administrative Contractors
By
McKnight's Staff
Jan 10, 2013
The Centers for Medicare & Medicaid Services is asking providers to help figure out a way to make demands from Medicare Administrative Contractors less burdensome.
Texas’ block of CMS vaccine mandate in jeopardy
By
Danielle Brown
Jan 19, 2022
Texas nursing homes may soon have to join the rest of the nation in complying with the Centers for Medicare & Medicaid Services’ healthcare worker COVID-19 vaccine mandate if an appeal by the administration...
CMS announces Medicare appeals without administrative law judge hearings
By
Tim Mullaney
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...
The ABCs of documenting CPT
By
Renee Kinder
May 06, 2021
It’s that time of year again when the Current Procedural Terminology (CPT) Editorial Panel meets with the task of ensuring its codes remain up to date.
Lawmakers question why nursing homes haven’t received more pandemic aid
By
Danielle Brown
Jun 22, 2020
Two U.S. lawmakers want answers from the Centers for Medicare & Medicaid Services regarding the funding distribution for nursing homes during the coronavirus public health crisis.
Lawmakers demand answers about rating system quirks
By
John O'Connor
Oct 01, 2014
After The New York Times noted that providers are apparently gaming the Five Star rating system by enhancing staffing and quality data, federal lawmakers quickly put an indignant pen to paper.
Report: CMS needs to improve oversight of nursing home quality program
By
McKnight's Staff
Mar 05, 2012
The Centers for Medicare & Medicaid Services needs to make serious improvements in the tools it uses to evaluate the quality of nursing home care, a federal report reveals.
Senators demand more data on Medicare fraud prevention efforts
By
McKnight's Staff
Aug 01, 2012
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.
Lawmakers pushing CMS to ease Medicare Advantage prior authorizations
By
Kimberly Marselas
Jun 26, 2023
Close to 300 members of Congress are urging federal regulators to do more to reduce burdensome Medicare Advantage requirements that can slow delivery of care to nursing home and other patients.