The Centers for Medicare & Medicaid Services has given a recovery audit contract to Connolly LLC, a subsidiary of Connolly iHealth Technologies, in Region 5. The firm will oversee Medicare claims for Durable Medical Equipment, Home Health and Hospice, in this new, fifth nationwide region.
Nearly $81 million has been made in payments on behalf of beneficiaries in Pioneer accountable care organizations through Sept. 30, a new report finds.
3M Critical & Chronic Care Solutions Division announced the Centers for Medicare & Medicaid Services assigned product-specific Healthcare Common Procedure Coding System codes for the 3M™ Coban™ 2 Layer Lite Compression System (Cat #2794).
For just about every skilled nursing facility out there, this is probably a good time to break out the flop sweat. That is, unless the prospect of being culled from one of your most vital revenue streams is nothing to worry about.
If nothing else, federal health officials displayed Monday that they are intent on getting this accountable care organization (ACO) thing right. Or at least closer to "right" than it has been.
Niall Brennan is the first Center for Medicare & Medicaid Services Chief Data Officer, the agency announced. He will lead the new Office of Enterprise Data and Analytics.
There's a need to fix what's broken with the Five Star nursing homes-ratings system, and the way to do it is obvious.
Is it me or sometimes do the wide interpretations within the State Operations Manual (the dreaded "RED book") make you want to question your entire existence? I mean, we've been working so diligently toward Culture Change and the true meaning of person-centered care. Nationally, I thought we were making headway. But nooooooo.
Providers will receive needed coding and billing software six months before the ICD-10 transition date, the Centers for Medicare & Medicaid Services has announced. This is double the lead time that providers had for a planned 2014 transition, which was delayed by a year.
Health center owner fined $43 million in nursing home patient recruiting scam ... CMS defines "one-on-one" provider training ... Men shorter than five-foot-five are 50% more likely to die from dementia ... UK docs to begin telling patients their 'brain age'
Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016.
Minnix hopes White House aging conference will spur 'huge shift' ... CMS finalizes home health payment reductions ... Dementia is now No. 1 killer of women in England
CMS offers hospitals more flexibility to settle disputed inpatient claims ... Nursing homes interested in new secondhand smoke detector, Dartmouth researchers say ... Australian researchers announce Alzheimer's blood test progress ... SCAN Foundation releases blueprint for person-centered healthcare systems
The government is expanding its research into alternative therapy payments, to consider more holistic changes to the way Medicare reimburses skilled nursing facilities, the Centers for Medicare & Medicaid Services announced Tuesday.
Hospices can continue to rely on contract nurses because an ongoing nurse shortage is preventing providers from meeting their staffing needs, the Centers for Medicare & Medicaid Services announced in a recent memorandum to state survey agencies.
The Centers for Medicare & Medicaid Services recently updated instructions on coding hospice claims. Billing staffs should be aware of these changes, which went into effect Oct. 1, CMS stated in a memorandum about the Medicare manual update.
Spending on nursing homes and continuing care retirement communities is expected to roughly keep pace with total U.S. healthcare spending during the next decade, according to the annual "National Health Expenditures Projections" report released last month.
After The New York Times noted that providers are apparently gaming the Five Star rating system by enhancing staffing and quality data, federal lawmakers quickly put an indignant pen to paper.
Slightly more than half of the nation's nursing facilities reported abuse or neglect allegations as required in 2012, a new report from the Office of Inspector General alleges. Such relatively low compliance indicates that more guidance and oversight is warranted, the report concludes.
CMS releases new version of software for collecting assessment information ... CT hospitals must now inform patients of observation status ... CA assisted living facilities face multiple requirements under new laws ... Govt. launches Open Payments website
CMS clarifies appropriate use of power strips in long-term care resident rooms ...GAO: Integrating Medicare and Medicaid may not reduce costs on dual-eligible care ... Brookdale discriminated against worker with fibromyalgia, EEOC claims ... State standards for physician access under Medicaid managed care vary widely, OIG finds
When a skilled nursing facility changes ownership, the change is known in healthcare vernacular as a change of ownership or "CHOW." Because this could wind up endangering a Medicare provider agreement, It is imperative that more people understand the process, know the parties they're involved with and develop better awareness of the regulatory issues involved.
The Centers for Medicare & Medicaid Services should loosen regulations to allow more people to receive care in the community rather than in nursing homes, a bipartisan group of Senators wrote in a recent letter to the top CMS official.
Long-term care providers should take pride in their antipsychotic reduction efforts, and certainly should work hard to meet the new goals announced Friday. But it should not escape their notice that just a day earlier, the White House released an ambitious national plan for addressing antibiotic resistant infections. The plan suggests that a facility's antibiotic stewardship is about to join its antipsychotics rate as a defining feature of quality in the eyes of the government.
Long-term care providers are being asked to reduce the use of antipsychotic medications among residents by 25% by the end of 2015, and 30% by the end of 2016. Providers have already achieved a 17.1% reduction since 2011.
Americans are the most worried about losing their eyesight as they age, poll says .... AHCA says MedPAC Chairman is 'spot-on' with three-day stay comments ... Medicare Advantage enrollment rises for fifth straight year, CMS says.
If the Medicare Part B program had used average Medicare Part D drug dispensing and fee rates, it would have saved the government $110 million in 2011, according to a report from the Department of Health and Human Services Office of Inspector General released Sept. 16.
There's a looming massive report on all the hospital readmissions data in your area and the strategic plan your facility needs to pursue. It involves talking to lots of employees, gathering data, doing statistics and the actual writing, not to mention proofreading, and having your boss sign off on it. It's due Oct. 15.
The Centers for Medicare & Medicaid Services is set to lift long-term care's exemption from its e-prescribing rule as of Nov. 1. This is bigger news than most realize right now, and there has been no indication CMS is going to postpone things.
This year, it is the day after Halloween that might be scary. On November 1, prescribers, pharmacies and facilities in the long-term-care industry must cease the transmission of electronic medication orders via the HL7 and e-fax methods that predominate today.