Medicare might have made duplicate payments for medications used by hospice beneficiaries, OIG report...
By
McKnight's Staff
Jul 05, 2012
Medicare appears to have paid pharmacies twice for medications taken by hospice beneficiaries, a government report found.
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
Analysts disagree whether death of healthcare reform could mean recoupment of provider funding
By
McKnight's Staff
Apr 13, 2012
Healthcare analysts are proposing that Medicare providers, including nursing homes, could recoup millions of dollars if the Supreme Court strikes down the Affordable Care Act.
CMS to start covering heart procedure that significantly extends life expectancy
By
McKnight's Staff
May 02, 2012
Medicare beneficiaries with heart valve damage will be able to have a valve replacement covered under certain conditions, the Centers for Medicare & Medicaid Services announced Tuesday.
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.
The projected recoveries to the federal government from fraud-related audits and investigations are expected to rise 33% — or by $1.7 billion — in fiscal 2012, the Department of Health and Human Services...
Established nursing home business practices will soon change, expert warns
By
McKnight's Staff
Mar 26, 2012
Market and policy changes will force skilled care operators to dramatically change their business practices, an industry analyst said Monday. Successful operators will need to demonstrate quality care,...
MedPAC worried over managed care plan for dual eligibles
By
McKnight's Staff
Apr 06, 2012
A Medicare advisory panel has expressed concern that automatic enrollment into managed care plans for dually eligible Medicare and Medicaid beneficiaries would harm their access to healthcare.
National organizations defend ‘bed taxes’ in letters to White House, Congress
By
McKnight's Staff
Dec 06, 2012
A group of 20 national healthcare organizations supporting current allowable “bed tax” levels, have asked the ceiling not be changed as part of current federal budget talks in a letter sent...