Report: CMS hospital star ratings wrong for two years
By
Kimberly Marselas
Jun 18, 2018
The Centers for Medicare & Medicaid Services has miscalculated hospital star ratings for two years, according to a startling report published by Modern Healthcare Friday.
Overdocumentation and cloning in electronic health records are overlooked risks, investigators say
By
Tim Mullaney
Jan 09, 2014
Auditors reviewing Medicare and Medicaid claims from electronic health records are largely treating them in the same manner as paper claims, even though they pose unique risks for overbilling and fraud,...
Feds called on to adopt less restrictive provider fire and life safety codes
By
Danielle Brown
Jul 15, 2021
The Centers for Medicare & Medicaid Services is being urged to adopt an updated life safety code regulation after providers warned the edition slated to go into effect could cause “unnecessary nursing...
Enforcement of privacy rules now delayed until March 31
By
John O'Connor
Feb 01, 2013
The Centers for Medicare & Medicaid Services has pushed back enforcement of two electronic healthcare transaction rules by three months, the agency announced in January. That gives providers until March...
Lawmaker wants more surveys for Special Focus Facility nursing homes
By
Danielle Brown
May 10, 2022
A key U.S. lawmaker is calling on the Centers for Medicare & Medicaid Services to address reported lags in surveys of nursing homes in the Special Focus Facility program after finding that 1 in 5 are overdue...
Long-term care groups applaud a pause in Medicare audits, urge permanent changes
By
Tim Mullaney
Feb 21, 2014
Long-term care stakeholders are praising the government’s decision to temporarily pause the recovery audit contractor program, which is associated with a huge backlog of Medicare claims appeals.
Becerra orders CMS to rethink $22 Medicare Part B premium price hike tied to Aduhelm
By
Alicia Lasek
Jan 11, 2022
With the 50% price drop of Aduhelm on January 1, there is good reason for CMS to reassess a hefty proposed premium hike for 2022, the U.S. health secretary said. On Wednesday, CMS is expected to announce...
Federal judge blocks new RAC contracts
By
Tim Mullaney
Sep 04, 2014
Adding to the ongoing controversy around Medicare’s Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.
CMS to unveil new mandatory coronavirus testing, accounting requirements for nursing homes: report
By
Danielle Brown
Aug 25, 2020
Nursing homes could soon be subject to more coronavirus testing and reporting regulations.
Federal government needs to boost Medicaid managed care oversight, GAO says
By
Tim Mullaney
Jun 20, 2014
The government’s oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released...