Report: Correcting Medicare Advantage overpayments could save billions
Jan 27, 2012
Correcting overpayments in the Medicare Advantage program could save the federal government billions of dollars, according to a new Government Accountability Office report.
Regulators: Provider gift cards to nursing home residents won’t draw fines
Jul 09, 2008
A healthcare system that proposes giving gift cards to residents and other customers it disappoints with poor service is on firm legal ground, federal regulators say.
CMS leader cautions drug plans to smooth Part D transitions
By
Haymarket Media
Apr 04, 2006
New Medicare drug benefit enrollees must still be offered a 30-day transition period and newly institutionalized beneficiaries must be given a 90-day transition period, the leader of the Medicare program...
Justice Department investigating Humana billing practices
By
John Hall
Feb 24, 2015
Humana Inc. reports that it is cooperating with a Department of Justice inquiry into whether it exaggerated the severity of elderly patients’ illnesses to generate higher Medicare reimbursements.
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.
Bill could gut scheduling
By
Kimberly Marselas
Sep 01, 2014
A Congressional proposal to provide low-wage hourly employees with more stability and workplace protections could hit nursing homes.
CMS allows less-severe citations for nursing homes installing a sprinkler system
By
Tim Mullaney
Nov 19, 2013
Nursing homes might be able to reduce the scope and severity of deficiency citations related to sprinkler systems, the Centers for Medicare & Medicaid Services recently announced.
Medicare cuts, individual mandate repeal rolled into GOP tax bill
By
Nov 14, 2017
Republican Senators on Tuesday added a provision to their tax overhaul bill that would roll back the individual insurance mandate included in the Affordable Care Act.
SNF loses Medicare, Medicaid funding after resident leaves through unlocked door
By
Aug 11, 2017
The recent termination of a North Carolina nursing home’s provider agreement was spurred by a resident leaving the facility through an unlocked emergency door, according to local reports.
Providers get seat at the table: House asks input for new Medicare Red Tape Relief Project
By
Jul 26, 2017
House lawmakers on Monday announced the formation of a new initiative that will use healthcare provider input to help reduce regulatory burdens within the Medicare program.