Ask the payment expert … about quality and reimbursement correlations
By
Patricia Boyer
Jun 01, 2013
How can the Centers for Medicare & Medicaid Services correlate quality of care and reimbursement?
You always need to remember that Medicare is an insurance plan. As such, Medicare has rules, just like...
OIG: Volunteer Medicare fraud patrols had declining recovery in 2011
By
McKnight's Staff
Jun 26, 2012
The success rate of Medicare’s volunteer force of fraud-detecting beneficiaries is declining, a government report finds.
Compliance clock ticks
By
Terese Farhat
Feb 02, 2013
Nursing facilities have always faced an array of obligations in order to provide services to Medicare and Medicaid beneficiaries, which can sometimes seem burdensome in comparison with other providers....
Nursing home operators lose 93% of appeals: report
Jun 04, 2008
The federal government won 66 of 71 appeals cases brought by nursing home providers last year according to a recent report from the Center for Medicare Advocacy. The Centers for Medicare & Medicaid Services...
CMS expands therapy payment research
By
Tim Mullaney
Oct 22, 2014
The government is expanding its research into alternative therapy payments, to consider more holistic changes to the way Medicare reimburses skilled nursing facilities, the Centers for Medicare & Medicaid...
Analysis: Sequestration cut may mean loss of 766,000 healthcare jobs over 10 years
By
McKnight's Staff
Sep 12, 2012
A scheduled 2% sequestration cut in federal Medicare payments to providers could result in the loss of thousands of U.S. healthcare jobs, a new report warns.
OIG: Payment problems remain for Medicare Part D drugs in nursing homes
Jun 10, 2008
Two reports from the Office of Inspector General found problems with respect to the Medicare Part D program and nursing homes. One pertained to continuing payment obstacles while the other said that nursing...
Cutting Medicare to nursing homes is poor healthcare policy
By
Alan G. Rosenbloom
Sep 15, 2009
Congress is considering healthcare reform legislation that proposes deep cuts to Medicare spending for nursing home care. Such a bill would not be the way to achieve meaningful reform.
CMS did more than ‘just’ cut Medicare pay by 11.1%
By
Shelly Mesure, MS, OTR/L
Aug 19, 2011
Have you started your COT trending analysis? On Aug. 8, the Centers for Medicare & Medicaid Services released the final ruling and commentary for the new implementation of the MDS changes set to take effect...
Advance directives are not a proxy for euthanasia
By
Sherry Parrish
Aug 25, 2009
It is a mistake to think that advance care planning in any way hurts seniors. Such discussions may lead to more end-of-life care instead of less and help preserve individuals’ decision-making rights.