SNF owner led record $1 billion Medicare fraud ring, authorities say
By
James M. Berklan
Jul 25, 2016
The owner of more than 30 Miami-area nursing homes and assisted living facilities has been charged with leading a national record $1 billion-plus Medicare fraud scheme.
Nursing home operators hail ‘historic’ Senate passage of permanent ‘doc fix’...
By
James M. Berklan
Apr 15, 2015
The Senate overwhelmingly voted to pass H.R. 2 Tuesday night, paving the way for repeal of the Medicare Sustainable Growth Rate and drawing the praise of the largest nursing home association in the country.
Members of Congress ratchet up pressure on nursing homes
By
James M. Berklan
Apr 03, 2018
Four influential Republican Congressmen sent a letter to federal regulators Tuesday, requesting sweeping answers about the agency’s oversight of nursing homes.
MedPAC calls for payment reforms to come even earlier
By
James M. Berklan
Jul 06, 2017
Federal lawmakers’ advisory panel for Medicare made it official in its report to Congress in June: It recommends implementation of a unified post-acute payment system beginning in 2021 — three...
Nipping improper Medicare payments in the bud
By
James M. Berklan
Sep 15, 2016
Does the Centers for Medicare & Medicaid Services need its own Barney Fife to set its house in order? Some seem to think so.
Person-centered care pushing aside nonsense
By
James M. Berklan
Sep 06, 2017
I found it stunning when I recently read that more than a half million people had taken advantage of new Medicare coverage that pays for end-of-life discussions with their doctors. And there was hardly...
The hell with this guy
By
James M. Berklan
Oct 20, 2017
Speaking at the same Mandalay Bay complex in Las Vegas from which a “madman” committed the deadliest mass shooting by a single person in U.S. history just two weeks earlier, American Health...
Providers grateful for certain opportunities in proposed 2025 Medicare pay rule
By
James M. Berklan
Apr 02, 2024
Even though debate will continue about how much Medicare reimbursement should rise next year, there’s little disagreement that the Centers for Medicare & Medicaid Services got at least a few things right...
No easy solution ahead for LTC funding dilemma
By
James M. Berklan
Jan 15, 2008
The year-end scramble for Medicare and Medicaid dollars ended with a bang — and the usual whimpers from various provider interests. There were winners on one side, losers on the other. And then there...
BREAKING: Federal regulators tout $15M in fines, tripling of ‘Immediate Jeopardy’ citations against...
By
James M. Berklan
Aug 14, 2020
The Centers for Medicare & Medicaid Services announced Friday afternoon that it has levied more than $15 million in fines and tripled the most severe type of citations to nursing homes during the six months...