It is critical to have a solid system for discharge planning that begins even before the resident is admitted to the facility. Individualized, resident-centered discharge planning will provide a solid...
RACs were ‘most improved’ healthcare auditors for getting back money in 2013, government...
By
Tim Mullaney
Apr 18, 2014
Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report...
Researchers defend providers in wake of watchdog’s $84M overpayment report
By
Marty Stempniak
Mar 26, 2019
Researchers defended nursing homes after a recent government report slammed providers for receiving more than $84 million in overpayments.
Nursing home complaints rose by 33% over four years, new report finds
By
Elizabeth Newman
Oct 02, 2017
While nursing home occupancy dropped between 2011 and 2015, complaints were up by a third during the same years, a new federal report asserts.
FBI raids nursing home company headquarters, CEO’s home
By
Sep 16, 2015
Federal agents reportedly raided the Indianapolis headquarters of nursing home operator American Senior Communities, as well as the home of its CEO, on Tuesday, according to the Indianapolis Star.
Misinformation about RAC program persists
By
Kristin Walter
Jul 13, 2015
Recently, the Medicare Payment Advisory Council released their Report to Congress on Medicare and the Health Care Delivery System…
Ask the payment expert … about PEPPER reports
By
Patricia Boyer
Dec 01, 2014
We never downloaded our PEPPER report. How important is it?
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,...
The best defense is a good offense when mitigating False Claims Act liability
By
Jason Edgecombe and Ted Lotchin
Nov 13, 2015
Our previous articles have reviewed the liability traps that the False Claims Act creates for long-term care providers. These traps have resulted in damages and penalties for healthcare providers to the...
Latest whistleblower lawsuit pricetag runs to $2.7 million
By
James M. Berklan
Apr 01, 2013
Federal authorities cracked down on another regional long-term care provider recently, reaching a roughly $2.7 million settlement in a lawsuit centering on alleged false therapy billing.