As we’ve come to understand, bad things can happen through no fault of our own. Sometimes, it’s a matter of someone else being victimized by fate’s fickle finger – and playing the misfortune forward.
Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?
Lawmakers demand answers about rating system quirks
By
John O'Connor
Oct 01, 2014
After The New York Times noted that providers are apparently gaming the Five Star rating system by enhancing staffing and quality data, federal lawmakers quickly put an indignant pen to paper.
Top 5 news stories reveal varied interests among long-term care professionals
By
John O'Connor
Jan 03, 2014
What do neck abnormalities, dangerous bacteria, a murder-suicide, a defensive nursing home chain, and antipsychotic guidelines have in common? These five developments were voted the most popular news stories...
CMS to revise audit practices
By
John O'Connor
Jun 01, 2013
Here’s the good news for providers dealing with Recovery Audit Program contractors: The federal government will make fewer additional document requests, starting this month. Now the not-so-good news:...
Things heating up in case of the runny eggs
By
John O'Connor
Jun 03, 2013
Looks like CMS and nursing home inspectors have more than a little egg on their face, thanks to a recent circuit court ruling in favor of a wrongly accused operator.
Enforcement of privacy rules now delayed until March 31
By
John O'Connor
Feb 01, 2013
The Centers for Medicare & Medicaid Services has pushed back enforcement of two electronic healthcare transaction rules by three months, the agency announced in January. That gives providers until March...
Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.