AHCA opposes manual review system for therapy claims, launches provider feedback clearinghouse
By
McKnight's Staff
Apr 05, 2013
As part of its pushback against the manual review process for therapy claims, the American Health Care Association has launched a clearinghouse to gather provider feedback. AHCA President Mark Parkinson...
TODAY’S THE DAY: McKnight’s Online Expo kicks off with session on MDS 3.0 as lawmakers reintroduce...
By
McKnight's Staff
Mar 20, 2013
Representatives Sam Graves (R-MO) and Adam Schiff (D-CA) recently reintroduced a bill to ease audit burdens on long-term care providers. Initially put forward in Oct. 2012, the Medicare Audit Improvement...
Laws and policies in focus next week for LTC therapy and ancillary services providers
By
James M. Berklan
Feb 08, 2013
A keynote address by Farzad Mostashari, MD, ScM, the National Coordinator for Health Information Technology, will highlight opening day of the annual winter Legislative and Regulatory Conference of the...
OIG: Medicare contractors, antipsychotics in SNFs to get a closer look
By
McKnight's Staff
Oct 04, 2012
The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
Lawmakers blast federal efforts to monitor and police Medicare fraud — again
By
McKnight's Staff
Jun 11, 2012
Lawmakers again hammered the Centers for Medicare & Medicaid Services’ Medicare program integrity contractors Friday. The latest salvos were fueled by an agency admission that additional mistakes...
OIG: Regulators need to sharpen retrieval of Medicare overpayments made to providers
By
McKnight's Staff
May 25, 2012
Medicare recovery audit contractors have not been diligent enough in collecting previously identified overpayments, a government investigation finds.
Low-quality Medicare Advantage plans should expect scrutiny, CMS says
By
McKnight's Staff
Apr 13, 2012
Medicare Advantage plans with fewer than five stars on the quality scale should expect some form of audit, a Centers for Medicare & Medicaid official said this week.
Report: Improper Medicare Advantage payments fell $1.2 billion in 2011
By
McKnight's Staff
Apr 02, 2012
Recovery audit contractors and other quality assurance efforts allowed Medicare Advantage to reduce improper payments by $1.2 billion in 2011, according to a new government report.
More collaboration between Medicare and Medicaid fraud detection programs is needed, report finds
By
McKnight's Staff
Mar 22, 2012
More communication is needed between Medicare and Medicaid’s respective program integrity officials, a new report suggests.