Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 26, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
Presidential election, Medicaid expansion crucial to future of nursing home funding
By
McKnight's Staff
Sep 26, 2012
If President Obama is re-elected in November, governors who have resisted implementing the Affordable Care Act’s Medicaid expansion will likely change their tune, a former government official speculated...
Latest therapy-billing showdown could be ominous sign for long-term care providers
By
James M. Berklan
Sep 10, 2014
Don’t let anyone tell you that long-term care operators don’t know how to read between the lines. They might not have known to fear a McKnight’s Monday news item before it broke, but...
Provider payment adjustments coming — this time without the indictments
By
James M. Berklan
Apr 30, 2021
Could it be that federal regulators and the caregivers they oversee are becoming more civil to one another?
CMS warns states: Survey fully or suffer consequences
By
Kimberly Marselas
Feb 10, 2022
The Centers for Medicare & Medicaid Services Wednesday sternly warned state survey agencies they must enforce all aspects of the federal program’s health and safety requirements by long-standing agreement.
CMS no longer requiring surveyors to be fully vaccinated in order to inspect facilities
By
Danielle Brown
Jun 17, 2022
The Centers for Medicare & Medicaid Services has rescinded guidance that says surveyors who are not fully vaccinated shouldn’t participate on the onsite survey team when inspecting certified providers.
CMS 5-claim audits so far a ‘debacle’
By
Jessica R. Towhey
Aug 22, 2023
A new federal review process designed to lower the rate of improper government payments is sending provider staffs scurrying to justify their coding.
COVID testing requirements relaxed for fully vaccinated nursing home workers, residents
By
Danielle Brown
Apr 28, 2021
Fully vaccinated nursing home workers and other healthcare personnel who are asymptomatic can be exempt from expanded COVID-19 testing under new recommendations unveiled Tuesday by the Centers for Disease...
CMS: Only fully vaccinated surveyors should be part of onsite survey teams
By
Danielle Brown
Jan 26, 2022
Surveyors who are not fully vaccinated and don’t have a COVID-19 vaccine exemption should not participate as part of the onsite survey team when inspecting certified providers, according to the Centers...
BREAKING: CMS says all healthcare staff must be fully vaccinated by Jan. 4
By
Danielle Brown
Nov 04, 2021
Long-term care staff must be fully vaccinated against COVID-19 by Jan. 4 under a new healthcare worker vaccination rule released early Thursday by the Centers for Medicare & Medicaid Services.