Huge HIPAA breach inevitable, providers ‘behind’ crooks … Nursing home doc has to pay back $57K to Medicaid … Alzheimer’s drug development not looking good … Insulin...
Medicaid paying 32% less than Medicare Part D for medications
By
Elizabeth Newman
Jul 03, 2014
Medicaid is paying the lowest average price for 78 high-use and high-expenditure brand-name and generic drugs, a new federal report finds.
Signature HealthCARE charged with $2 million in unapproved Medicaid billings
By
Tim Mullaney
Jul 01, 2014
Long-term care provider Signature HealthCARE billed Medicaid about $2 million for unapproved costs, auditors with the Tennessee Comptroller’s Office charged Monday.
Take this to the bank: How to reduce money stress for LTC residents
By
Eleanor Feldman Barbera, Ph.D.
Jun 30, 2014
In my conversations with hundreds of long-term care residents over the years, I’ve found money to be an almost universally sore subject among them. Financial concerns continue to be a stressor for...
You’ll never guess where the latest Medicaid relief is coming from
By
John O'Connor
Jun 30, 2014
If you are a long-term care provider relying on Medicaid dollars to make ends meet, Illinois is probably one of the last places where you’d want to be doing business. But Illinois also might have...
It’s time to stop long-term care state rankings
By
Tim Mullaney
Jun 24, 2014
Minnesota routinely is named best state for long-term care, as it was last week in AARP’s 2014 scorecard. AARP held a panel discussion to unveil the rankings, and of course an official from Minnesota...
New payment models present opportunities for SNFs
By
Jeff Terkowitz
Jun 18, 2014
For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary...
Hospitalist company with long-term care presence faces federal charges of upcoding
By
Tim Mullaney
Jun 18, 2014
A hospitalist company that works with thousands of post-acute care facilities is officially facing federal charges that its clinicians routinely overbilled Medicare and Medicaid, authorities announced...
Mother-daughter nursing home execs agree to lifetime Medicaid ban in case of $3 million fraud
By
Stephanie H. Kim
Jun 13, 2014
Former Florida nursing home executives agreed to be “permanently excluded” from federally funded health programs in settling charges of a $2.75 million Medicaid fraud, according to a plea agreement...
Nursing home owner facing $3 million Medicaid bill gets jail time for financial misdeed
By
Tim Mullaney
Jun 12, 2014
A former nursing home owner who faces criminal charges and allegedly owes millions to Medicaid has been sentenced to 90 days in jail, Iowa officials announced Wednesday.