A long-term care facility slapped with a civil monetary penalty has a chance for an independent informal dispute resolution, according to new manual guidance from the Centers for Medicare & Medicaid Services.
CMS too burdened and focused on cost to be the epicenter of long-term care reform, experts say
By
Tim Mullaney
Nov 21, 2013
Most long-term care reforms rely on the Centers for Medicare & Medicaid Services for implementation, but the overburdened agency cannot manage all the needed changes in this area, according to a panel...
Better anti-fraud efforts are not appeasing lawmakers
By
Tim Mullaney
Aug 01, 2014
Long-term care facilities and other Medicare providers increasingly have seen reimbursements influenced by the government’s Fraud Prevention System, an official recently told a Congressional panel.
CMS should publicly push Congress to reform therapy payment system, long-term care provider association...
By
Tim Mullaney
Sep 09, 2014
The Centers for Medicare & Medicaid Services should openly urge Congress to change the way therapy services are reimbursed, the nation’s largest long-term care provider association stated in recent...
Hospice workers who provide care for residents of skilled nursing facilities will have to provide more detailed claim data starting next year, according to recently released requirements from the Centers...
CMS fails to measure outcomes of the zone program integrity contractor program: government report
By
Tim Mullaney
Nov 26, 2013
The Centers for Medicare & Medicaid Services is not thoroughly assessing how well zone program integrity contractors are contributing to Medicare anti-fraud efforts, according to a new report from the...
CMS releases reference chart for new therapy-related G-codes
By
Tim Mullaney
Aug 16, 2013
The Centers for Medicare & Medicaid Services has released a reference chart listing the new G-codes needed for outpatient therapy services claims under the Medicare fee-for-service program.
Congressional lawmakers grill top ALJ on appeals backlog, say too many providers are being put out of...
By
Tim Mullaney
Jul 11, 2014
Efforts to root out Medicare fraud have put far too many above-board providers in auditors’ crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and...
CMS to weigh comments on disqualifying convictions in crafting background check regulations
By
Tim Mullaney
Mar 11, 2014
Long-term care stakeholders generally support proposed regulations on background checks of direct care workers, according to an informational memorandum issued Friday by the Centers for Medicare & Medicaid...
Providers could lose Medicaid money and patient information due to ICD-10 transition, researchers find
By
Tim Mullaney
Mar 13, 2014
Healthcare providers could experience financial and information losses when they make the mandated transition to the new International Classification of Diseases coding system in October, according to...