Provider hit with back pay and hiring demands even after judge dismisses parts of union case
By
Kimberly Marselas
Jul 07, 2023
A National Labor Relations Board judge has dismissed parts of an extensive case brought by a Missouri union, after leaders successfully negotiated new contracts with the owners of three involved nursing...
Watchdog urges Medicaid to bolster overpayment collection efforts
By
Kimberly Marselas
Jun 30, 2023
The Government Accountability Office is urging Medicaid overseers to do a better job of recouping overpayments, citing their allegedly lenient oversight of state auditing efforts.
(Updated) CMS uncovers affiliated nursing homes with new ownership tools
By
Kimberly Marselas
Jun 29, 2023
Providers had a mixed response Wednesday afternoon to a new effort to create more public awareness of nursing home ownership, in particular when facilities share a parent organization.
BREAKING: CMS to make shared nursing home ownership, performance clearer for consumers
By
Kimberly Marselas
Jun 28, 2023
Federal regulators will begin posting nursing home affiliations on Nursing Home Care Compare in an attempt to make it easier for consumers to see related facilities and understand their overall performance,...
Lawmakers pushing CMS to ease Medicare Advantage prior authorizations
By
Kimberly Marselas
Jun 26, 2023
Close to 300 members of Congress are urging federal regulators to do more to reduce burdensome Medicare Advantage requirements that can slow delivery of care to nursing home and other patients.
GAO chides CMS over delayed nursing home reporting, antipsychotic transparency
By
Kimberly Marselas
Jun 23, 2023
Some Care Compare information on nursing homes is too old and some is too hard to understand, reported a government watchdog.
Nursing homes’ internal investigations must remain private: court
By
Kimberly Marselas
Jun 22, 2023
Nursing homes and other healthcare providers can’t be compelled to turn over internal investigative documents even in cases where substandard or unsafe patient care is alleged, an appeals court has ruled.
Debt ceiling deal may limit new health agency spending, jumpstart fraud efforts
By
Kimberly Marselas
May 31, 2023
A deal to avert a debt-ceiling crisis and fund the government next year could place new limits on federal health spending while also giving a boost to healthcare fraud and abuse investigations.
Claims audit will affect every nursing home starting June 5
By
Kimberly Marselas
May 30, 2023
Every skilled nursing facility in the US will be subject to a five-claim audit starting the week of June 5 as regulators try to better assess and root out improper payments.
‘Impossible’ Medicare Advantage denials decried during Senate hearing
By
Kimberly Marselas
May 18, 2023
A Senate subcommittee Wednesday sent letters to the nation’s largest Medicare Advantage insurers, demanding they reveal internal documents that illustrate how they make coverage determinations.