Providers demand fixes after feds find MA plans wrongly delay or deny SNF services too often
By
Danielle Brown
May 02, 2022
Skilled nursing providers are demanding changes after a new federal report found that Medicare Advantage organizations (MAOs) have improperly denied or delayed services to beneficiaries to increase profits.
CMS fails to collect monetary penalties from facilities
By
Haymarket Media
Apr 15, 2005
The Centers for Medicare & Medicaid Services collected less than half the civil monetary penalties it imposed on nursing homes that committed quality of care or safety violations in 2000 and 2001, a governmental...
OIG to investigate Part A billing, ED transfer practices by nursing homes
By
May 29, 2015
The Office of Inspector General released its Fiscal Year 2015 Mid-Year Update this week, and it includes several initiatives important to long-term care operators.
OIG: Assisted living needs to up information, compliance levels on HCBS
Dec 13, 2012
Concerns about home- and community-based services (HCBS) at assisted living facilities were raised in a report released Tuesday by the Health and Human Services Office of Inspector General.
Mandatory compliance programs for nursing facilities
By
Terese Farhat
Dec 04, 2012
Regardless of whether you are big or small, nursing facility leaders need to be much more vigilant with compliance program efforts.
BREAKING: CMS failed to publicly post deficiencies for two-thirds of nursing homes, OIG finds
By
Kimberly Marselas
Apr 12, 2023
Medicare’s Care Compare site did not accurately reflect nursing home deficiencies in two-thirds of listings reviewed by a federal watchdog agency, a finding that implies more than 10,000 health, life...
OIG: Nursing homes correctly reported 53% of abuse or neglect allegations in 2012
By
Tim Mullaney
Aug 19, 2014
Only about half of nursing facilities correctly reported abuse or neglect allegations in 2012, indicating that the government needs to provide more guidance and oversight, according to a new report from...
CMS overpays poor performing nursing homes by $5 million in 2004
May 06, 2008
Nursing homes that fell out of compliance with federal quality-of-care standards in 2004 received more than $5 million in overpayments that year, as a result of processing errors, the Department of Health...
Also in the News for Wednesday, Jan. 17, 2024
By
Kimberly Marselas
Jan 17, 2024
CMS drops expected draft of MDS updates … OIG to audit use of contracted surveyors … OIG to CDC: Improve support for COVID nursing home data submission … Nursing home operators booted from state...
Referral fees OK, says OIG
By
James M. Berklan
Mar 01, 2014
A long-term care provider that requested clearance for a system of paying an agency to refer patients is in the clear.
