Medicaid termination doesn’t always cross state lines: OIG
By
Elizabeth Newman
Sep 04, 2015
Twelve percent of providers terminated from a state Medicaid program continued participating in other states, a new government study has found.
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
CMS fact sheet gives rules on ‘maintenance’ caregiving
By
James M. Berklan
May 01, 2013
The Centers for Medicare & Medicaid Services has issued a fact sheet, that clarifies the conditions the terms under which “maintenance therapy” will be covered by Medicare.
ACOs save on backs of SNFs
By
Marty Stempniak
Apr 08, 2018
Providers taking part in a Medicare experiment saved money by funneling care away from skilled nursing facilities and toward physician services, according to a new analysis.
Poll: IPAB best of options
By
James M. Berklan
Aug 02, 2011
In contrast to providers’ preference, more Americans want an independent payment board to make decisions about Medicare spending, rather than leaving the current system as is.
CMS pushes back on quality measure recommendations
By
Tim Mullaney
Jun 01, 2014
Healthcare providers face unfairly reduced reimbursements if they serve economically disadvantaged patients, according to a recent National Quality Forum draft report. The government rejected recommendations...
Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
Providers challenge proposal that adjusts payments, care
By
John Andrews
Jun 05, 2015
Providers in the post-acute care sector seem to be united in wanting BACPAC to take a hike.