New ACO designed to better serve dual eligibles strategy
By
James M. Berklan
Jan 06, 2017
The Centers for Medicare & Medicaid Services announced Dec. 15 it was starting an ACO pilot program aimed at beneficiaries enrolled in both Medicare and Medicaid.
Fix flaws before changing nursing home pay: AHCA says
By
James M. Berklan
Aug 01, 2013
The Centers for Medicare & Medicaid Services should consider a higher market basket update for nursing homes due to improper calculations that could be costing providers, the American Health Care Association...
Providers rip huge backlog of therapy claims reviews
By
James M. Berklan
Jan 01, 2014
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
Providers catch big break as MDS 3.0 gets one-year delay
By
James M. Berklan
Apr 01, 2009
Nursing homes have an extra year to prepare for MDS 3.0 after the Centers for Medicare & Medicaid Services disclosed it would delay implementing the program overhaul until October 2010.
Washington owes Medicaid programs $4 billion, govs say
By
James M. Berklan
Aug 02, 2011
With federal lawmakers trying to figure out ways to cut expenditures, balance the budget and reduce the national deficit, funding to states — and healthcare providers in particular — has frequently...
Provider to pay $3 million in ambulance-swapping case
By
James M. Berklan
Jan 04, 2016
Federal authorities believe they have broken new ground by leveraging a $3.2 million settlement with a provider for its part in an alleged fraudulent ambulance service scheme.
Study: Dramatic change in diet reversed type 2 diabetes
By
James M. Berklan
Apr 20, 2016
Results of a small British clinical study have raised hopes that type 2 diabetes is reversible in some people if they follow a stark new diet.
The number of malpractice claims in long-term care has dropped steadily over the last five years, according to a new report.
Pressure sore leads to false-advertising suit
By
James M. Berklan
Jun 01, 2014
A resident who developed a serious pressure ulcer allegedly due to negligence at a Pennsylvania continuing care retirement community is suing the operator, claiming it purposely misrepresented its care...
States spring to action after Skyline misses huge payroll
By
James M. Berklan
May 08, 2018
The Kansas Department of Aging and Disability Services sought emergency powers to take over operations at 15 nursing homes in late March after New Jersey-based Skyline Health Care failed to make payroll....