Ambulance company reaches $8 million settlement to resolve charges over improper skilled nursing facility...
By
Tim Mullaney
Nov 06, 2013
The nation’s second-largest ambulance services company has reached a settlement agreement over whistleblower charges of improper business dealings with skilled nursing facilities, Rural/Metro Corporation...
McDermott targets the ‘three-day rule’
By
John O'Connor
Nov 01, 2013
Rep. Jim McDermott (D-WA) has introduced legislation that would eliminate a major hurdle to rehabilitation care and payments: the “three-day rule.”
Court nixes 3-day challenge, says doctors should decide
By
John O'Connor
Nov 01, 2013
A federal district court in Connecticut has dismissed a case filed by more than a dozen beneficiaries who challenged Medicare’s “three-day rule.”
Five LTC commissioners issue full alternative report
By
Tim Mullaney
Sep 24, 2013
Five members of the Congressional Commission on Long-Term Care have released a full report, providing an alternative to the commission report released last week. The five commissioners split with nine...
Medicare should cover SNF stays without prior hospitalization, American Medical Association asserts
By
McKnight's Staff
Jun 20, 2013
The American Medical Association will work to change the 72-hour hospitalization requirement for Medicare Part A coverage of skilled nursing care. Delegates approved this resolution at the AMA annual conference...
CMS widens audits, hones in on Part A claims, expert says
By
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...
Government officials released good news about the long-term solvency of the Medicare program Friday. The projections were based in large measure on lower projected reimbursements for skilled nursing facilities.
‘Serious’ CMS oversight should compel providers to be duly vigilant about compliance, expert...
By
McKnight's Staff
May 08, 2013
Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in...
Medically Complex Medicare Part B
By
Shelly Mesure, MS, OTR/L
May 08, 2013
While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare...
The Centers for Medicare & Medicaid Services is encouraging provider input as it seeks to change the payment system for therapy provided by skilled nursing facilities.