The government often hires “overzealous” investigators to detect fraudulent Medicare and Medicaid billing practices, a new report alleges. These examiners often target technical errors instead...
AHCA: New reform bill “well-intentioned, but off-target”
Feb 19, 2008
After a brief bout of initial praise for the newly introduced Nursing Home Transparency and Improvement Act of 2008, the American Health Care Association offered a different take on the bill Friday. The...
CMS releases reference chart for new therapy-related G-codes
By
Tim Mullaney
Aug 16, 2013
The Centers for Medicare & Medicaid Services has released a reference chart listing the new G-codes needed for outpatient therapy services claims under the Medicare fee-for-service program.
New studies, CMS rules attempt to lower rehospitalizations for seniors
Jun 14, 2011
The rate of rehospitalization of seniors within 30 days of discharge from a nursing home has surged in the last several years, to an estimated annual cost of more than $17 billion.
*BULLETIN: CMS to name more underperforming facilities*
Feb 12, 2008
Reversing an earlier position, the Centers for Medicare & Medicaid Services will release the names of additional nursing facilities the government has identified as poor performers.
Nursing home operators can now access a Centers for Medicare & Medicaid Services webpage dedicated to the Quality Assurance and Performance Improvement initiative.
CMS ‘secret’ names list sparks protest
By
James M. Berklan
Jan 01, 2008
Federal regulars set off a maelstrom last month by releasing part — but not all — of a list of 128 of the nation’s worst performing nursing homes.
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of...
By
Tim Mullaney
Jul 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors’ crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and...
Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.