HHS: Medical appeals backlog could be ‘eliminated completely’ by end of FY 2019
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Nov 09, 2016
The overwhelming backlog of Medicare claims appeals may be a thing of the past as early as fiscal year 2019, according to a court brief filed by the Department of Health and Human Services on Monday.
Republican lawmakers accuse CMS of focusing on recovering, not preventing, improper payments
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Sep 13, 2016
The Centers for Medicare & Medicaid Services relies too much on investigating improper Medicare payments after they’re made instead of preventing them to begin with, Republican lawmakers said Monday.
CMS wants 12% decrease in hospital readmissions by 2019
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May 26, 2016
The Centers for Medicare & Medicaid Services is seeking to cut the number of 30-day hospital readmissions by 12% over the next three years under a hospital improvement plan announced Wednesday.
SNF reaches $50k settlement in disability discrimination suit
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Jan 29, 2016
A South Carolina skilled nursing facility has agreed to pay $50,000 to settle claims that it fired a licensed practical nurse due to a disability that complicated her pregnancy.
Lawmakers look to save Medicaid transportation service levels
By
Marty Stempniak
May 15, 2019
Congressional leaders are aiming to kill a Trump administration proposal to weaken Medicaid transportation services that are crucial to many nursing home residents.
Legislators ask AG to investigate care at facility where 11 children died, alleging delays may be ‘criminal’
By
Marty Stempniak
Nov 22, 2018
New Jersey legislators are pushing the state’s attorney general to investigate whether criminal negligence occurred at at a long-term care facility where 11 children have died.
Another state accused of improprieties in granting private Medicaid contracts
By
Kimberly Marselas
Apr 17, 2018
A Pennsylvania Court has ruled the state’s Department of Human Services violated procurement rules when an official met with top executives of a company bidding for a share of its Medicaid service...
Bundled payments and dual-eligibles bring opportunities to long-term care operators, experts say
Mar 29, 2012
Gainsharing and caring for dual eligibles are hot topics for healthcare providers — and rightfully so — experts said Thursday.
Providers ask Sebelius for meaningful use clarifications on electronic health records
Jun 22, 2011
Healthcare provider organizations are asking the Department of Health and Human Services for guidance on implementing electronic health records under Medicare and Medicaid’s “meaningful use...
Ask the nursing expert: when to say “yes” and when to say “no” to your staff
By
Anne Marie Barnett
Jun 01, 2009
Anne Marie Barnett, RN Former President, Maryland NADONA/LTC