Sequester would cost SNFs more than $782 million, hit Florida especially hard, report asserts
By
McKnight's Staff
Feb 28, 2013
Skilled nursing facilities in highly populated states on the East Coast and in the Midwest would be hit hardest by Medicare cuts if sequestration takes effect, according to figures released by the Alliance...
Referral fees OK, says OIG
By
James M. Berklan
Mar 01, 2014
A long-term care provider that requested clearance for a system of paying an agency to refer patients is in the clear.
Government officials released good news about the long-term solvency of the Medicare program Friday. The projections were based in large measure on lower projected reimbursements for skilled nursing facilities.
CMS: Four provider responsibilities when residents want an expedited appeal of Medicare service terminations
By
McKnight's Staff
May 29, 2013
The Centers for Medicare & Medicaid Services specified four provider responsibilities for expedited review of Medicare service terminations in a recent claims manual update.
$30 million cut from Medicare
By
Tim Mullaney
Sep 01, 2013
Skilled nursing facilities will see $470 million in aggregate 2014 Medicare reimbursements, which is $30 million less than projected in a proposed rule, according to the Centers for Medicare & Medicaid...
Automatic 2% Medicare cuts begin
By
McKnight's Staff
Apr 02, 2013
The 2% reduction in Medicare payments known as sequestration began Monday. Providers should begin to see the impact by mid-April. The reductions will affect claims with dates of service or discharge on...
Medicare auditors becoming more active, denying more claims, survey shows
By
McKnight's Staff
Aug 29, 2012
Requests for medical records by Medicare’s fraud-detecting recovery audit contractors (RACs) jumped sharply from the first- to the second-quarter of fiscal year 2012, a new survey reveals.
Senior living company can pay referral fees for new residents despite kickback concerns, OIG advisory...
By
Tim Mullaney
Jan 23, 2014
A nonprofit senior housing and care provider can continue to pay an agency for referring new residents, despite concerns related to anti-kickback laws, according to a newly released government opinion.
RAC audits: Skilled nursing facilities accounted for miniscule portion of 2011 Medicare overpayments
By
McKnight's Staff
Feb 07, 2013
Skilled nursing facilities accounted for only about $200,000 of $797 million in collected Medicare overpayments in 2011 identified by Recovery Audit Contractors, according to an annual audit report released...
TODAY’S THE DAY: McKnight’s Online Expo kicks off with session on MDS 3.0 as lawmakers reintroduce...
By
McKnight's Staff
Mar 20, 2013
Representatives Sam Graves (R-MO) and Adam Schiff (D-CA) recently reintroduced a bill to ease audit burdens on long-term care providers. Initially put forward in Oct. 2012, the Medicare Audit Improvement...