CMS announces Medicare appeals without administrative law judge hearings
By
Tim Mullaney
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...
States can designate more nursing homes in urgent need of quality improvement, government says
By
Tim Mullaney
Apr 22, 2014
The federal government is reactivating the special focus facility program for nursing homes with quality issues, the Centers for Medicare & Medicaid Services has announced. The program was minimized due...
CMS allows less-severe citations for nursing homes installing a sprinkler system
By
Tim Mullaney
Nov 19, 2013
Nursing homes might be able to reduce the scope and severity of deficiency citations related to sprinkler systems, the Centers for Medicare & Medicaid Services recently announced.
Nursing homes will be subject to escrow for all civil monetary penalties, CMS announces
By
Tim Mullaney
Sep 05, 2013
Nursing homes facing a civil monetary penalty due to any type of deficiency will be subject to escrow and entitled to request an independent informal dispute resolution process, according to a newly issued...
$30 million cut from Medicare
By
Tim Mullaney
Sep 01, 2013
Skilled nursing facilities will see $470 million in aggregate 2014 Medicare reimbursements, which is $30 million less than projected in a proposed rule, according to the Centers for Medicare & Medicaid...
Hospital, nursing home information sharing to become ‘routine,’ government agencies say
By
Tim Mullaney
Aug 09, 2013
As sharing of electronic health information becomes standard across all care settings, using technology may become a prerequisite for providers to participate in the Medicare and Medicaid programs, according...
Post-acute care largely explains geographic differences in Medicare spending, report affirms
By
Tim Mullaney
Jul 29, 2013
Geographic variances in post-acute care largely account for differences in Medicare spending patterns, supporting healthcare reform measures that encourage better acute and post-acute coordination, according...
Government report describes bungled manual review process for therapy claims
By
Tim Mullaney
Jul 12, 2013
There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle...