Plan would address inspection backlog, limit inspection duties
By
John Hall
May 01, 2015
California Gov. Jerry Brown (D) is reportedly seeking to realign nursing home inspection and oversight duties to address a chronic backlog of investigations into abuse and other violations, while limiting...
AMA to submit information to federal regulators regarding end-of-life care planning
By
John Hall
Jun 03, 2014
The American Medical Association is expected to release recommendations soon for what physicians should be reimbursed for end-of-life medical consultations. The physicians group issues advisements regularly...
CMS showing confidence in managed care plans’ fraud-prevention efforts
By
John Hall
Jun 01, 2015
Medicaid managed care plans would be limited to fraud prevention expenditures of 0.5% of premium revenue when calculating medical loss ratios, signaling high confidence from federal regulators that such...
How to do it… EMR and billing integration
By
John Hall
Sep 04, 2015
Over the years, providers have tried every trick in the book to get electronic medical records and billing systems to mesh. This is not a project for the faint of heart. But diligent homework and a reliable...
Medicaid IT systems need quality check: GAO
By
John Hall
Mar 04, 2015
A new report to Congress casts significant doubts on the integrity and effectiveness of information systems many state Medicaid programs use to process claims, and CMS has agreed with it its recommendation...
Efforts to stop improper Medicaid payouts for people with private insurance need to be intensified or the program could lose millions of dollars as it continues to expand, the Government Accountability...
Insurers rattled by Medicaid managed care’s big changes
By
John Hall
Jun 06, 2016
The government’s first major overhaul of the Medicaid Managed Care program in 14 years is unlikely to affect provider reimbursements, but insurers continue to take exception with one provision allowing...
New EHR bills would improve interoperability
By
John Hall
Mar 11, 2015
On the heels of a Centers for Medicare & Medicaid Services pledge to ease electronic health record implementation reporting rules several weeks ago, newly introduced legislation would facilitate greater...
As volume of data collected rises, operators must determine who’s the boss of precious information
By
John Hall
Apr 04, 2019
Nursing home managers deftly deal with issues about life and death and all that comes between, but ask how data has affected them and some are likely to say “overwhelmed.”
Sleep deprived, overweight shift workers at higher risk for diabetes: Study
By
John Hall
May 19, 2015
New university-based research claims employees such as nursing home caregivers, factory and shipping workers who work outside normal 9 a.m.-5 p.m. schedules could be suffering a disproportionate share...