Bundled payment initiative for providers coming: CMS
By
James M. Berklan
Oct 01, 2011
Post-acute care providers will be among those affected under a new initiative that will provide bundled Medicare payments.
CMS withdraws proposal to aid same-sex spouses in LTC
By
Nov 06, 2017
The Centers for Medicare & Medicaid Services withdrew a proposed rule in October originally aimed at ensuring rights for married same-sex couples in long-term care facilities.
Feds recover $10 million in incorrect Medicaid payouts
By
James M. Berklan
Apr 01, 2014
Federal investigators recovered more than $10 million in incorrect Medicaid payments made to nursing homes in 2013, an annual review shows.
HHS gives shooter guidance for healthcare facilities
By
Tim Mullaney
Jan 01, 2015
Federal agencies have issued guidance for how healthcare providers should prepare for an active shooter emergency. The 33-page document covers threat assessment, actions to take during and after an emergency,...
CMS wants tighter oversight for Medicare prescriptions
By
James M. Berklan
Feb 01, 2014
The Centers for Medicare & Medicaid Services has seen enough and wants to gain more control over drug-prescribing practices for the Medicare Part D program.
Impatient with the conservative participation in its Medicare Shared Savings Program, the Centers for Medicare & Medicaid Services has proposed an overhaul of its most popular accountable care organization...
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.
A “punt” by the U.S. Supreme Court left long-term care providers breathing a deep, maybe temporary, sigh of relief regarding California’s proposed Medicaid funding cuts.
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...
Ask the payment expert: Why are there so many lower RUG levels in residents receiving therapy?