Lawmakers target SNFs’ big payer for fraud, waste cuts
By
Kimberly Marselas
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
With little to show for past efforts, SNFs under the microscope again on readmissions
By
Joe Bush
Oct 27, 2022
A federal watchdog’s announcement this week that it plans to more closely scrutinize “possibly preventable” readmissions of skilled nursing patients to hospitals underscores the federal government’s...
Brius Healthcare gets most citations for serious deficiencies, but it’s the state that gets the...
By
Kimberly Marselas
May 04, 2018
California’s oversight agencies have not met their responsibilities when it comes to ensuring quality care at the state’s nursing homes, even as the three main providers there have grown into...
CMS awards 26 states with Medicaid audit contracts
By
McKnight's Staff
Apr 02, 2012
Contracts for Medicaid recovery audit contractors (RACs) have been awarded to 26 states, government officials have announced.
CMS finds group to conduct recovery audits
Jun 03, 2011
The Centers for Medicare & Medicaid Services has hired a contractor to conduct recovery audit functions on Medicare Part D drug plan, according to the Bureau of National Affairs.
Los Angeles County failed in investigating nursing homes, state says
By
Elizabeth Newman
Jun 23, 2014
The Los Angeles County Department of Public Health did not follow standard policies pertaining to nursing home inspections, according to a review released by the state Department of Health.
CMS widens audits, hones in on Part A claims, expert says
By
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...
OIG partly blames CMS for Life Care Centers deficiencies
By
Joe Bush
Sep 20, 2022
A federal watchdog said a lack of communication by the Centers for Medicare & Medicaid Services may have caused infection control deficiency citations at Life Care Centers of America nursing homes between...
Ask the legal expert … about due diligence when being recruited
By
John Durso
Feb 01, 2013
I’m an administrator and am being recruited by a skilled nursing facility with past legal troubles. What should I do to satisfy myself that this facility has cleaned up its act and would be a good...
The RAC is back, increasing scrutiny in a complex nursing home audit environment
By
Kimberly Marselas
Feb 05, 2024
Audits of skilled nursing providers are likely to increase this year, with a growing number of federal and state recovery audits adding to specialized compliance reviews announced last year.