A number of internal promotions and a few staff acquisitions from a Health and Human Services’ insurance unit highlight a series of leadership changes at the Centers for Medicare & Medicaid Services,...
Provider groups push for RAC reform
By
John Hall
Feb 06, 2015
Hospital industry groups said Thursday they’d rather the government reform the Recovery Audit Contractor program than simply throw more money at fixing an onerous backlog of more than 800,000 Medicare...
RAC groups battle provider plea for short-stay payment relief
By
John Hall
Feb 19, 2015
Third-party firms that audit Medicare bills for payment issues are pushing back hard against a hospital association plea for more favorable short-stay reimbursements, adding to the ongoing unwelcome specter...
Watchdog: CMS should monitor Recovery Audit Data warehouse
By
John Hall
Apr 17, 2015
A new Government Accountability Office report recommends sweeping government reforms that would mitigate fragmentation and duplication of a number of Medicare and Medicaid programs.
CMS to ease reporting rules for EHR Incentive program
By
John Hall
Feb 02, 2015
The Centers for Medicare & Medicaid Services has proposed easing the reporting rules for providers implementing electronic health records, which could come as good news for long-term care providers increasingly...
ICD-10 transition going better than expected for healthcare operators
By
John Hall
Feb 10, 2015
Despite two delays and a host of costly implementation issues over the past year, most healthcare providers will likely make a successful transition to the 10th round of ICD codes, a General Accountability...
AHCA pitches ‘permanent’ therapy payment system
By
John Hall
Mar 06, 2015
Nursing homes’ biggest national ally and advocate is making the rounds on Capitol Hill this week in an effort to convince Congress to let die a lengthy experiment to withhold therapy claims while...
Quality improving in nursing homes: CMS review
By
John Hall
Mar 04, 2015
The 2015 National Impact Assessment of the Centers for Medicare & Medicaid Services Quality Measures Report shows “clear progress in improving the healthcare delivery system to achieve the three...
CMS plan would completely overhaul Medicaid managed care
By
John Hall
May 12, 2015
Over the next few weeks, the Centers for Medicare & Medicaid Services is expected to unveil an ambitious and comprehensive policy-making effort that promises to completely transform and radically overhaul...
Online forum will explain new home health rating system
By
John Hall
Apr 24, 2015
A special one-hour, web-based open door forum will be held May 7 to explain to providers the new set of star ratings for the Home Health Compare website, the Center for Medicare & Medicaid Services announced.