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 should intensify Medicaid eligibility checks at certain facilities, government asserts
By
Elizabeth Newman
Jun 28, 2018
The Centers for Medicare & Medicaid Services should prioritize fingerprint-based criminal background checks and conduct site visits to high-risk providers to mitigate Medicaid fraud, a government watchdog...
AHCA: Changing QIO structure would compromise skilled care
By
Tim Mullaney
Aug 14, 2013
The Centers for Medicare & Medicaid Services should preserve state-based quality improvement organizations for Medicare oversight, according to a large number of healthcare groups, including the American...
Don’t consolidate quality groups to regionals: AHCA
By
James M. Berklan
Sep 01, 2013
The Centers for Medicare & Medicaid Services should not waver from its long-standing support of state-based quality improvement organizations, the American Health Care Association and nearly 50 other organizations...
Medicare beneficiaries supportive of ACOs, despite rough start
By
McKnight's Staff
Jun 11, 2012
Despite a somewhat rocky start, Medicare beneficiaries have been supportive of accountable care organizations, a government official said.
CNAs urge Congress to reconsider Medicare cuts
Sep 21, 2009
Members of a national association of nursing home certified nurse aides called on Congress last week to reconsider cutting billions of dollars in Medicare payments to nursing homes.
Feds ease auditing reviews, anti-fraud efforts to surge
By
John O'Connor
Dec 01, 2013
Providers likely will embrace House legislation that eases billing reviews for operators deemed a low fraud risk.
Long-term care associations to battle Medicare cuts during congressional recess
Aug 04, 2009
Congress may take a recess this month, but the long-term care community isn’t planning on it. Instead, the associations will be working to urge lawmakers not to cut millions in Medicare payments...
CMS to cut Medicare funding to skilled nursing facilities by $360 million in fiscal year 2010
Aug 03, 2009
The Centers for Medicare & Medicaid Services late Friday issued a rule that will cut $360 million in Medicare payments to skilled nursing facilities for fiscal year 2010.
Move to improve residents’ quality of life a welcome development
By
Nancy L. Gorman
Aug 04, 2009
Enhanced standards from The Joint Commission complement new guidance from the Centers for Medicare & Medicaid Services. Both emphasize improving the quality of life of long-term care residents.