Regulators outline new process for manual medical review of therapy claims
By
McKnight's Staff
Aug 08, 2012
Officials from the Center for Medicare & Medicaid Services on Tuesday clarified how the Middle Class Tax Relief and Job Creation Act of 2012 will affect the therapy cap exceptions process.
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
House committee puts Medicare audit contractors on the hotseat
By
McKnight's Staff
Jul 10, 2012
Lawmakers are asking Medicare contractors for more information about how they go about identifying and reporting potentially fraudulent payments to the Centers for Medicare & Medicaid Services.
Medicare payment board would slash government payments to SNF providers, paper says
By
McKnight's Staff
Oct 24, 2012
The Affordable Care Act’s controversial Medicare payment board would be an “agent for reimbursement cuts to Medicare,” according to a policy paper released Wednesday.
Antipsychotic drug use correlated to staffing levels
By
McKnight's Staff
May 01, 2012
While antipsychotic drug use overuse has decreased since 2005, nearly a quarter of U.S. nursing homes are still giving many residents the medications against recommendations, a Boston Globe analysis reveals.
CMS angling to ease providers’ burdens from Medicare Administrative Contractors
By
McKnight's Staff
Jan 10, 2013
The Centers for Medicare & Medicaid Services is asking providers to help figure out a way to make demands from Medicare Administrative Contractors less burdensome.
Long-term care pharmacy groups propose changes to make short-cycle dispensing more efficient, cost-effective
By
McKnight's Staff
Feb 05, 2013
Long-term care pharmacies are struggling with an Affordable Care Act provision related to short-cycle dispensing of brand name oral solid drugs, according to a recent letter from the Long Term Care Pharmacy...
Senators demand more data on Medicare fraud prevention efforts
By
McKnight's Staff
Aug 01, 2012
A multimillion dollar Medicare fraud-fighting command center unveiled by the federal government a week ago is already drawing fire from two Republican lawmakers.