OIG to change compliance guidance for nursing homes
Jan 30, 2008
The Department of Health and Human Services wants to know how its 8-year-old compliance guidance for nursing homes should be changed. The changes will affect providers taking part in federal health programs...
Improper payments often about inaccuracy
By
Elizabeth Newman
May 20, 2016
One of the common aphorisms uttered in the Newman house is Hanlon’s razor. It has various iterations, but it is basically “never assume malice what can be explained by stupidity.”
States react to OIG nursing home deficiency report
Oct 03, 2008
After the release of a recent Department of Health and Human Services’ Office of Inspector General report on nursing home violations, states are coming out in defense of their records.
COVID-19 strategies: WWOT (What would Oprah think?)
By
James M. Berklan
Apr 02, 2021
I have a message for the Department of Health and Human Services: “Boy, do you have a problem.”
More than 25,000 potential LTC workers deemed ineligible through federal background check program
By
Danielle Brown
Aug 26, 2019
Long-term care providers in 11 states identified nearly 3% of ineligible job applicants through a national background check program in the past two years.
Managed care organizations need to increase their fraud prevention efforts, OIG says
By
Elizabeth Newman
Jul 13, 2018
Managed care organizations, which oversee 80% of all Medicaid enrollees, are weak in fighting fraud and abuse, the Health and Human Services Inspector General said Wednesday.
OIG report: States keep 8% of deficiency cases from CMS
By
Haymarket Media
Dec 22, 2005
States failed to refer 7.6% of nursing home cases involving deficiencies to the Centers for Medicare & Medicaid Services, according to a report released this week by the Department of Health and Human...
CMS rule tightens hospital guidelines on granting inpatient status
By
Tim Mullaney
Aug 20, 2013
The Centers for Medicare & Medicaid Services has issued a final rule on hospital inpatient status, which is likely to boost the number of seniors receiving Medicare coverage for skilled nursing services.
CMS should intensify Medicaid eligibility checks at certain facilities, government asserts
By
Elizabeth Newman
Jun 28, 2018
The Centers for Medicare & Medicaid Services should prioritize fingerprint-based criminal background checks and conduct site visits to high-risk providers to mitigate Medicaid fraud, a government watchdog...
Exploding hospice industry vulnerable to fraud, OIG says
By
Marty Stempniak
Aug 01, 2018
The hospice care industry has ballooned in interest over recent years. But at the same time, nursing home residents and others receiving such care are often subject to improper care and fraudulent billing,...