Some nursing homes are not accepting a dementia training resource sent by the government, even though it is free and recommended, according to the American Association for Long-Term Care Nursing.
Efforts to root out Medicare fraud have put far too many above-board providers in auditors' crosshairs, leading to a staggering backlog of appeals that has no easy fix, Congressional lawmakers and a top government official said during a hearing Thursday.
The Medicare claims review process is unfairly burdening healthcare providers and failing to improve program integrity, due in part to the payment system for certain auditors, Senate leaders said during a roundtable hearing Wednesday.
Reducing readmissions would have the most significant impact in bringing down U.S. healthcare costs, according to a survey of health quality experts.
Accountable care organizations should be assessed on the number of people who return to a member hospital within 30 days of being discharged to a skilled nursing facility, the Centers for Medicare & Medicaid Services has stated in a proposed rule.
The Centers for Medicare & Medicaid Services has revised the manual that long-term care facility surveyors refer to, updating interpretive guidelines related to F-Tags.
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced Thursday.
The government should adjust Medicare payment policies to better support the type of care provided in hospital-based skilled nursing facilities, the American Hospital Association urged in a recent letter to a top healthcare official.
Proposed Medicare payment changes have put the nation's largest long-term care association at odds with inpatient rehabilitation providers, and the two sides sought to sway legislators in advance of a Congressional hearing Wednesday.
Nursing homes dramatically reduced pressure ulcer rates and restraint use in the last three years by participating in Medicare Quality Improvement Organization initiatives, according to new government data circulated Thursday.
The American Medical Association is expected to release recommendations soon for what physicians should be reimbursed for end-of-life medical consultations. The physicians group issues advisements regularly to the Centers for Medicare & Medicaid Services, which typically adopts them for its programs, the Pew Charitable Trust noted on Monday.
Nursing homes now have new guidance about using certain types of reprocessed medical devices, the Centers for Medicare & Medicaid Services announced.
Decreased payouts for nursing home care was one reason that healthcare spending grew more slowly for seniors than for any other age group between 2002 and 2010, the Centers for Medicare & Medicaid Services announced Monday.
The Centers for Medicare & Medicaid Services said it plans to focus more on quality improvement initiatives rather than stricter surveys, but that didn't stop a pair of veteran U.S. senators from calling for more stringent measures.
Justice has an odd way of showing itself if you're a nursing facility that disagrees with a deficiency citation but decides to work with inspectors to clear your name. You're not going to believe this one.
I often describe the monthly CMS Open Door Forum call as a monthly staff meeting; if you miss the meeting you better read the minutes to see what projects were assigned to you!
The federal government is reactivating the special focus facility program for nursing homes with quality issues, the Centers for Medicare & Medicaid Services has announced. The program was minimized due to budget cuts last year.
The attempts of the hospital lobby and long-term care to move beyond casually dating to going steady hit a snag at the steps of a courthouse Monday.
Long-term care providers and residents now can glean insights into where their local doctors stack up nationally by referring to newly released data on Medicare physician payments. For the first time ever, the government made this information publicly available Wednesday.
Acute and post-acute providers are increasingly uniting around a shared goal - to lower hospital readmission rates for elderly and other vulnerable patients. Many caregivers and payers agree that readmission rates are unacceptably high.
The Centers for Medicare & Medicaid Services has loosened regulatory language regarding which providers can furnish vaccines to hospice patients, and has tightened enforcement of a five-day payment limit for respite care.
The Centers for Medicare & Medicaid Services has seen enough and wants to gain more control over drug-prescribing practices for the Medicare Part D program.
An optometrist who served Georgia nursing homes faces a 33-month prison sentence for defrauding Medicare.
What do neck abnormalities, dangerous bacteria, a murder-suicide, a defensive nursing home chain, and antipsychotic guidelines have in common? These five developments were voted the most popular news stories appearing on the McKnight's website during 2013.
A fourth of the 3.3 million Medicare beneficiaries who lived in a nursing home in 2011 were hospitalized for at least one day. This came at a cost of $14.3 billion, according to a Nov. 18 report from the Office of the Inspector General in the Department of Health and Human Services.
A newly implemented admissions policy has driven hospital inpatient stays to record low levels, according to an analysis from researchers associated with Citigroup.
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.