GAO report says hundreds more deficient nursing homes should be added to watch list
Sep 29, 2009
Nearly 450 nursing homes should be added to the federal government’s Special Focus Facility (SFF) program, which monitors consistently problematic nursing homes, say the authors of a new report from...
Report: CMS needs to improve oversight of nursing home quality program
By
McKnight's Staff
Mar 05, 2012
The Centers for Medicare & Medicaid Services needs to make serious improvements in the tools it uses to evaluate the quality of nursing home care, a federal report reveals.
Senators demand more data on Medicare fraud prevention efforts
By
McKnight's Staff
Aug 01, 2012
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.
Medicaid IT systems need quality check: GAO
By
John Hall
Mar 04, 2015
A new report to Congress casts significant doubts on the integrity and effectiveness of information systems many state Medicaid programs use to process claims, and CMS has agreed with it its recommendation...
GAO: Feds not doing enough to protect Medicare beneficiaries’ data
By
Kimberly Marselas
Apr 09, 2018
The Centers for Medicare & Medicaid Services needs to improve how it handles beneficiary data being shared with others, especially research organizations, according to a new report from the Government...
Medicare underpaying for those with functional limitations: GAO
By
Marty Stempniak
Sep 12, 2018
The federal government may be underpaying for Medicare Advantage beneficiaries with functional limitations, a new analysis finds.
The Centers for Medicare & Medicaid Services pays a fixed amount for...
Regulators have tightened up screening efforts for Medicare providers
By
McKnight's Staff
Apr 24, 2012
Regulators have strengthened Medicare provider enrollment and toughened fraud prevention efforts, but it’s too early to know how effective the initiatives will be, a new report reveals.
House committee puts Medicare audit contractors on the hotseat
By
McKnight's Staff
Jul 10, 2012
Lawmakers are asking Medicare contractors for more information about how they go about identifying and reporting potentially fraudulent payments to the Centers for Medicare & Medicaid Services.
Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
GAO: Small percentage of Medicaid beneficiaries costing much more
May 11, 2015
The Government Accountability Office last week released findings showing 5% of Medicaid-only eligible enrollees accounted for nearly 50% of the billions of government dollars paid in Medicaid-only eligible...