Nursing homes attempting to maximize payments often upcode Medicare residents and keep them longer than necessary. And for-profit providers are the worst offenders. That’s the message in a scathing...
Also in the News for Monday, June 15
By
Danielle Brown
Jun 15, 2020
‘Better than death’: Cuomo stands by no visits at nursing homes … OIG study to examine pandemic’s impact on nursing homes … Tennessee releases guidelines on resuming visitations at nursing homes...
Also in the News for Monday, October 3
Oct 03, 2016
Low-wage nursing home workers will get pay raise after all, MA governor says … Feds give $347 million in grants to reduce hospital readmissions, infections … OIG: Medicare did not follow procedures,...
RAC program needs better oversight, Inspector General report finds
By
Tim Mullaney
Sep 05, 2013
Recovery audit contractors might be better at reviewing Medicare claims than critics allege, but the Centers for Medicare & Medicaid Services could improve RAC performance evaluations, according to a new...
Nursing home death rate soared 32 percent in 2020
By
Danielle Brown
Jun 23, 2021
The coronavirus pandemic’s “devastating impact” on nursing homes led to a 32% spike in overall mortality rate among Medicare residents during 2020, according to a new report by the Office of Inspector...
Report underscores problems with durable medical equipment Medicare claims process, group says
Jan 08, 2010
A new report from the Department of Health and Human Services Office of Inspector General confirms that the regulatory documentation requirements for durable medical equipment Medicare claims are “confusing,...
Also in the News for Friday, Nov. 22
Nov 21, 2019
Law experts urge long-term care providers to familiarize themselves with compliance regulations for hazardous drugs … RNs didn’t always visit hospice beneficiaries every 14 days, OIG report finds …...
OIG slams insufficient Medicare documentation, especially from nursing homes
By
Elizabeth Newman
May 16, 2016
The reported error rate for Medicare Fee-for-Service in fiscal year 2015 was 12.09%, well above the compliance threshold of 10%, a new government report finds.
Ask the legal expert … about due diligence when being recruited
By
John Durso
Feb 01, 2013
I’m an administrator and am being recruited by a skilled nursing facility with past legal troubles. What should I do to satisfy myself that this facility has cleaned up its act and would be a good...
OIG calls its healthcare suggestions ‘priority recommendations’
Mar 31, 2010
The Office of the Inspector General for the Department of Health and Human Services has released a report highlighting recommendations, including some that could affect nursing homes.