Online forum will explain new home health rating system
By
John Hall
Apr 24, 2015
A special one-hour, web-based open door forum will be held May 7 to explain to providers the new set of star ratings for the Home Health Compare website, the Center for Medicare & Medicaid Services announced.
Long-term care providers would do well to know the lesson from one Pennsylvania continuing care facility, which averted costly litigation when it discovered and later reported irregularities of more than...
Defeat the plague of improper claims
By
Kristin Walter
Apr 17, 2015
For recovery auditing professionals everywhere, performance-based payments are a financial best practice and the industry standard. The client wins when no upfront expenses occur and payments are made...
Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
Connecting the hospice compliance dots
By
Debbie Newsholme, CCEP, CHC
Mar 23, 2015
If someone asked you if your hospice was compliant with the Centers for Medicare & Medicaid Office of Inspector General’s Effective Compliance Program Guidance for Hospice, what would you tell them?
Where were YOU when CMS changed the Five-Star rating system?
By
Steven Littlehale
Mar 20, 2015
Some things will always stay etched in our mind. Where were you on February 12, when CMS publicly announced immediate changes to the Five Star Quality Rating System for Nursing Homes?
RAC beats CMS on payment lawsuit appeal
By
John Hall
Mar 16, 2015
A federal appeals court last week ruled that the Centers for Medicare & Medicaid Services violated federal contracting regulations when it stretched out payment terms for recovery audit contractors.
SNF victory in federal appeals court expected to cause review of other deficiency cases
By
John Hall
Mar 09, 2015
A federal appeals court has upheld fines emanating from a pair of deficiencies found and affirmed at a California nursing home. But the provider and its legal counsel are thrilled because the court also...
AHCA pitches ‘permanent’ therapy payment system
By
John Hall
Mar 06, 2015
Nursing homes’ biggest national ally and advocate is making the rounds on Capitol Hill this week in an effort to convince Congress to let die a lengthy experiment to withhold therapy claims while...
Quality improving in nursing homes: CMS review
By
John Hall
Mar 04, 2015
The 2015 National Impact Assessment of the Centers for Medicare & Medicaid Services Quality Measures Report shows “clear progress in improving the healthcare delivery system to achieve the three...