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.
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:...
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.
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.
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...
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?
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...