Feds challenge California to improve oversight of nursing home emergency preparedness compliance
By
Danielle Brown
Nov 14, 2019
California nursing homes could face tougher scrutiny on its emergency preparedness after a federal report detailed compliance issues in several facilities.
Medicaid drug costs are much lower than Medicare Part D costs, report finds
Aug 17, 2011
Medicaid’s net unit drug costs are much lower than costs under Medicare Part D, which is attributed to higher Medicaid rebates for brand name medications, according to a new report.
Feds want Medicaid payments returned for common ambulance services
By
John Hall
Jan 30, 2015
Medicaid programs are taking pause to ensure their non-emergency medical transportation services are operating properly after one state agency was told to return nearly $400,000 for improper bills.
Why CMS is shifting its infection control focus to sepsis
By
Kimberly Marselas
Apr 11, 2024
BALTIMORE — Quality experts at the Centers for Medicare & Medicaid Services will be taking a closer look at sepsis rates in nursing homes while continuing broader efforts to improve infection control,...
Fraud-fighting efforts not much to brag about
By
John O'Connor
Nov 30, 2012
In what has become a frequent event, the Inspector General at the Department of Health and Human Services has just issued yet another report that crows about heroic fraud-fighting efforts.
CMS should ensure quality measures actually match strategic objectives, OIG report asserts
By
Danielle Brown
Sep 23, 2019
A federal watchdog wants the Centers for Medicare & Medicaid Services to get better at ensuring its quality measures actually match its strategic objectives aimed at improving care quality and reducing...
What to know about QAPI
By
Tamar Abell
Jul 31, 2019
The final wave of Centers for Medicare & Medicaid Services regulations were all scheduled to go into effect November 2019.
Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows
By
Tim Mullaney
Mar 11, 2014
Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for...
Report: Security plans, training among Medicare contractors not up to HHS standards
By
Jan 26, 2017
The number of problems in Medicare Administrative Contractors’ information security programs is on the rise, according to a federal audit published this week.
Inspector General report: 1 in 7 nursing home residents are incorrectly prescribed psychotropic medications
May 11, 2011
As many as one in seven elderly nursing home residents, most of whom have dementia, are being prescribed expensive, powerful antipsychotic medications that increase the risk of death, according to a report...