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.
MDS insight found lacking
By
James M. Berklan
Apr 01, 2014
Long-term care staffers’ understanding of the Minimum Data Set and its Quality Indicators is “mediocre at best,” according to recent survey results. Lack of exposure and involvement are...
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.
CMS improperly measuring outcomes, report claims
By
James M. Berklan
Jan 01, 2014
So far, some providers have been put through a wringer without enough verification that it’s been worth it, according to a new Government Accountability Office report.
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.
MedPAC focuses on rehab
By
James M. Berklan
Dec 01, 2013
The Medicare Payment Advisory Commission could be getting closer to formally recommending more uniform payments to skilled nursing facilities and inpatient rehabilitation facilities.
Cases subject to escrow
By
James M. Berklan
Oct 01, 2013
Federal regulators have expanded the use of escrow accounts so that as of this month, providers will be subject to their use for any kind of deficiency from a standard or complaint survey that draws a...
OIG finds ‘observation stay’ problems, calls for reform
By
James M. Berklan
Sep 01, 2013
Long-term care groups are among those hailing a federal study that raises critical questions about hospitals’ apparent over-use of “observation stay” designations for patients.
More hospice info wanted
By
James M. Berklan
Sep 01, 2013
Federal regulators have added another layer of bureaucracy for hospice providers operating within skilled nursing facilities.
SNFs may help enroll: CMS
By
Tim Mullaney
Aug 01, 2013
Organizations may serve as authorized representatives for nursing home residents in the Medicaid application and enrollment process, according to a final rule issued by the Centers for Medicare & Medicaid...