OIG urges CMS to use claims to uncover abuse of Medicare patients
By
Kimberly Marselas
Nov 10, 2023
The Centers for Medicare & Medicaid Services has pledged to issue new guidance on resident abuse after a federal watchdog found the agency was failing to use claims data to spot potential cases of neglect...
Providers demand fixes after feds find MA plans wrongly delay or deny SNF services too often
By
Danielle Brown
May 02, 2022
Skilled nursing providers are demanding changes after a new federal report found that Medicare Advantage organizations (MAOs) have improperly denied or delayed services to beneficiaries to increase profits.
The coming crackdown: COVID-19 and beyond
By
Karen Christian
Matthew Hittle
Apr 21, 2021
For more than a year, America’s nursing homes have been besieged by the COVID-19 pandemic, which has tragically claimed the lives of more than 130,000 residents and 1,600 staff. While America’s nursing...
CMS violated federal contracting rules, OIG report finds
By
Danielle Brown
Jul 17, 2020
An investigation by a federal watchdog agency found that the Centers for Medicare & Medicaid Services violated federal contracting rules by allowing contractors to perform government functions.
Hatch calls for answers from HHS on abuse, neglect in long-term care facilities
By
Sep 18, 2017
Sen. Orrin Hatch (R-UT) urged the Department of Health and Human Services on Friday to divulge information on nursing home abuse, following a scathing federal report that found more than a quarter of potential...
SNF therapy billing controversy rises from the dead
By
Elizabeth Newman
Oct 02, 2015
Despite my love of Halloween, there is one component of it that is distinctly not for me: Horror movies. Still, I’m enough of a pop culture enthusiast that I can appreciate those with an appetite...
Medicare Part B could have saved $110 million, OIG asserts
By
Elizabeth Newman
Sep 18, 2014
If the Medicare Part B program had used average Medicare Part D drug dispensing and fee rates, it would have saved the government $110 million in 2011, according to a report from the Department of Health...
Feds: Without more funds, we are cutting provider oversight
By
James M. Berklan
Jun 01, 2014
Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official’s testimony is to be believed as more than just budget-request bluster.
Providers could be slapped with monetary penalties for slow response to document requests under OIG proposal
By
Tim Mullaney
May 13, 2014
Long-term care providers are facing an expanded list of infractions that could trigger civil monetary penalties, including slow response to document requests. The proposed regulation from the Department...
Cash-strapped feds to cut back Medicare oversight this year, OIG official says
By
Tim Mullaney
May 05, 2014
One of nursing homes’ most vigilant government watchdogs plans to dramatically curb its activities this year, a federal official has told the House Ways & Means Subcommittee on Health. The Department...