Improved transitions between acute and post-acute settings are partly responsible for continuing nationwide declines in hospital readmission rates, according to the Centers for Medicare & Medicaid Services.
Providers likely will embrace House legislation that eases billing reviews for operators deemed a low fraud risk.
Most long-term care reforms rely on the Centers for Medicare & Medicaid Services for implementation, but the overburdened agency cannot manage all the needed changes in this area, according to a panel of experts.
Nursing homes might be able to reduce the scope and severity of deficiency citations related to sprinkler systems, the Centers for Medicare & Medicaid Services recently announced.
A second group of contracts in a competitive bidding program for durable medical equipment items showed savings of more than one-third, according to the Centers for Medicare & Medicaid Services.
Earlier this year, the Department of Health and Human Services released an action plan for tackling Alzheimer's diagnostics, treatment and funding.
Nursing homes will face survey citations for facility-wide policies that prohibit cardiopulmonary resuscitation for residents, according to a recent Centers for Medicare & Medicaid Services memorandum.
Federal regulators say surveyors need to prevent providers from possibly "gaming" the system when it comes to the timing of surveys and sales.
A group of nursing home operators has won a moral victory over the Centers for Medicare & Medicaid Services, with a federal appeals court saying the agency made Medicaid reimbursement cuts without considering the consequences, but without the court ordering financial relief.
Seniors who fit a particular personality profile are more than twice as likely to receive long-term care in a nursing home, according to newly published research in The Milbank Quarterly.
The Centers for Medicare & Medicaid Services updated its Life Safety Code Waivers on Aug. 30. The update is designed to prevent "unreasonable hardship" for providers while maintaining resident safety.
Nursing homes facing a civil monetary penalty due to any type of deficiency will be subject to escrow and entitled to request an independent informal dispute resolution process, according to a newly issued memorandum from the Centers for Medicare & Medicaid Services.
Federal regulators have added another layer of bureaucracy for hospice providers operating within skilled nursing facilities.
The Centers for Medicare & Medicaid Services should not waver from its long-standing support of state-based quality improvement organizations, the American Health Care Association and nearly 50 other organizations have told government officials.
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 Services.
The Centers for Medicare & Medicaid Services is not guilty of contempt in a case over payments to a nursing facility facing Medicare termination, a U.S. appeals court recently ruled.
The Centers for Medicare & Medicaid Services has clarified steps providers must take to comply with Minimum Data Set requirements regarding incomplete or unsubmitted discharge assessments.
The Advancing Excellence campaign has released updated goals and called on nursing homes to actively use the framework for achieving better quality care.
The Centers for Medicare & Medicaid Services has released a reference chart listing the new G-codes needed for outpatient therapy services claims under the Medicare fee-for-service program.
The Centers for Medicare & Medicaid Services should preserve state-based quality improvement organizations for Medicare oversight, according to a large number of healthcare groups, including the American Health Care Association.
As sharing of electronic health information becomes standard across all care settings, using technology may become a prerequisite for providers to participate in the Medicare and Medicaid programs, according to a newly released government strategy document.
A long-term care provider and its hospice partner will need to draw up a detailed contract, according to a final rule released by the Centers for Medicare & Medicaid Services and published in the Federal Register.
Geographic variances in post-acute care largely account for differences in Medicare spending patterns, supporting healthcare reform measures that encourage better acute and post-acute coordination, according to a report from the Institute of Medicine.
In the final rule, CMS confirmed that organizations may serve as representatives, specifically citing the needs of nursing home residents who do not have family available for assistance. The rule also defines what authorized representatives may do, such as signing an application on a resident's behalf, and specifies that representatives must follow state and federal laws regarding conflict of interest and confidentiality of information.
There was no timely guidance for therapy contractors from the Centers for Medicare & Medicaid Services, according to a recent report from the Government Accountability Office. That resulted in a struggle to implement manual reviews for outpatient therapy claims at the end of 2012, the report says.
Users of the Nursing Home Compare website will soon be able to access and download more detailed data, including newly available information about inspections, the Centers for Medicare & Medicaid Services recently announced.
For the first time, the federal government will offer Medicaid funds to help finance long-term care ombudsman programs, the Centers for Medicare & Medicaid Services recently announced.
Long-term care facilities that are undergoing a major renovation or are in the process of building a new structure may be eligible for a sprinkler system extension.
The Centers for Medicare & Medicaid Services will utilize computer technology to shift from detecting and then prosecuting fraud ("pay-and-chase") to preventing it, according to a CMS official who spoke at last week's National HIPAA Summit in Washington, D.C.
The Centers for Medicare & Medicaid Services should press states to repay about $225 million in Medicaid overpayments accrued over a 10-year period, according to a recent report from the Department of Health and Human Services Office of Inspector General (OIG).