CMS names 5 new triggers that lead to extra surveys
By
James M. Berklan
Feb 01, 2021
The Centers for Medicare & Medicaid Services has revised the criteria that require states to conduct the specific surveys, the agency noted in a memo to state survey agencies Jan. 4.
Survey, staffing changes
By
James M. Berklan
Apr 04, 2019
The federal government is further tightening the screws on regulation of nursing home staffing and quality via a big shakeup this month.
CMS puts surveyors on alert for those ‘gaming’ system
By
James M. Berklan
Oct 01, 2013
Federal regulators say surveyors need to prevent providers from possibly “gaming” the system when it comes to the timing of surveys and sales.
CMS wants tougher survey oversight of nursing homes
By
James M. Berklan
Dec 05, 2019
Providers could be headed for more challenging experiences with surveyors.
CMS wants $45 million more to boost survey enforcement
By
James M. Berklan
May 01, 2019
Nursing homes soon could face tougher state surveys and greater regulatory scrutiny.
Blanket ‘no-CPR’ policy can result in citation, CMS rules
By
James M. Berklan
Dec 01, 2013
Federal regulators have come out strongly against facility-wide policies that prohibit cardiopulmonary resuscitation for residents in distress.
Penalty process explained
By
Tim Mullaney
May 01, 2014
A long-term care facility that has been slapped with a civil monetary penalty has 10 days to file for an independent informal dispute resolution process, according to a recent manual update from the Centers...
OIG: Hospices often out of compliance, need framing
By
James M. Berklan
Feb 01, 2014
The Department of Health and Human Services’ watchdog arm recently said hospice providers need stronger oversight measures. It also noted more than $5.8 billion in recoveries in fiscal 2013.
Providers rip huge backlog of therapy claims reviews
By
James M. Berklan
Jan 01, 2014
A provider-sponsored survey recently uncovered huge backlogs of therapy claim reviews for beneficiaries who exceeded the Medicare Part B caps limits.
Claims facing more scrutiny from auditors, survey shows
By
James M. Berklan
Oct 01, 2012
If providers feels like they’re under more intense scrutiny than ever before from Medicare recovery audit contractors, there is a good reason: They are.