CMS officials have delivered an early gift to help providers like you map out where they should focus their compliance efforts — not just for 2024, but for 2025 as well.
When CMS follows through on a commitment
By
James M. Berklan
Jun 30, 2023
Well, we certainly can’t say the Centers for Medicare & Medicaid Services always misses with its promises.
The summer of our nursing homes’ discontent
By
Kimberly Marselas
Jun 01, 2022
Memorial Day weekend usually ushers in a feeling of lightness, but I’m weighed down by uncertainty this year. Will it be a summer of discontent?
Why are more RAC audits happening? There are trillions of reasons
By
John O'Connor
Sep 10, 2012
Recovery audit contractors are stepping up their efforts to review Medicare billings. This appears to be a classic case of auditors gone wild.
The nursing home survey system is about to get a much closer look
By
John O'Connor
Aug 29, 2014
You had to know this was coming. Earlier this week, the New York Times reported that many nursing homes are submitting massaged staffing and quality indicator data to the feds. The alleged reason? So facilities...
Obtaining critical claims data may soon get easier
By
John O'Connor
Jun 05, 2015
The government plans to make new claims data and other resident-care information available to providers and entrepreneurs as never before. Is it too good to be true?
And the Oscar goes to … not this cockeyed production
By
James M. Berklan
Feb 16, 2023
I recently woke up in a fog to the middle of some movie where innocent villagers were being accused by the sheriff of crimes they were certain they hadn’t committed.
‘Special’ times ahead for more nursing homes, and that’s not good
By
James M. Berklan
May 28, 2014
As spring blends into summer, some nursing home operators are going to start feeling more heat — and it will have nothing to do with the weather. They will be given places on the proverbial hot seat....
Looking to open eyes about ‘observations’
By
James M. Berklan
May 01, 2013
Bully for provider groups pulling out the stops to draw attention to the ludicrous mishandling of “observation stay” designations by many hospitals. One prong of the plan is to have providers...
CMS wants to know how you make things better
By
John O'Connor
Jul 06, 2012
The Centers for Medicare & Medicaid Services may be asking you for help this summer. It might behoove you to sit up and take notice.