Medicare auditors can request twice as many SNF medical records
By
McKnight's Staff
Mar 20, 2012
Medicare recovery audit contractors (RACs) can now request twice as many resident medical records than previously allowed, according to the Centers for Medicare & Medicaid Services.
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.
Ask the payment expert … about RACs
Apr 06, 2015
I thought the Recovery Audit Contractors were on hold, so why did I receive a request from our RAC for a Medicare Advantage resident?
$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...
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.
CMS is two weeks late issuing report on fraud prevention efforts
By
McKnight's Staff
Oct 17, 2012
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency’s fraud prevention system (FPS).
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...
Latest federal mandate denial sets stage for possible Supreme Court appeal
By
Kimberly Marselas
Dec 15, 2021
The battle over a federal COVID-19 vaccine mandate for healthcare workers is primed for its Supreme Court debut, now that a federal appeals court has ruled a temporary injunction should remain in place.
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...
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.