Providers cannot use an online service that involves money for referrals within its network, federal regulars now say, reversing course on an advisory opinion issued three years ago. The edict came from the Department of Health and Human Services Office of Inspector General.
The federal government is allocating too much money for Medicaid demonstration projects to test new models of care delivery, according to the Government Accountability Office.
A lack of uniformity among hospital coders for developing conditions is a main reason for the "point of admission" errors, according to a Monday report from the Department of Health and Human Services Office of Inspector General.
It's interesting how competition can make strange bedfellows. Nursing homes and hospitals, for example, are next-door-neighbors on the caregiving block. We all know who has the bigger house on this block, and it often creates resentment.
Nineteen percent of long-term care nursing aides who were found guilty of on-the-job abuse, neglect, or property theft in 2010 had prior criminal convictions, a federal report revealed this week.
Healthcare providers will have an extra year to become compliant with ICD-10 coding standards and will be issued standardized identification codes, according to a final rule issued by Department of Health and Human Services on Friday.
Republican members of the House Ways and Means Committee have accused the Department of Health and Human Services of overstepping its authority in implementing a controversial Medicare Advantage demonstration project.
Many nursing facilities are not compliant with federal regulations governing residents who take atypical antipsychotic medications, a federal review released Monday reveals.
The success rate of Medicare's volunteer force of fraud-detecting beneficiaries is declining, a government report finds.
Lawmakers again hammered the Centers for Medicare & Medicaid Services' Medicare program integrity contractors Friday. The latest salvos were fueled by an agency admission that additional mistakes had been made.
The Department of Health and Human Services has announced its newest round of grant recipients under its Health Care Innovation Awards.
The federal government should take advantage of Affordable Care Act funds to improve the coordination and quality of care for the chronically ill, a new report recommends.
A bipartisan group of Congressional lawmakers introduced a resolution Tuesday in support of the Obama administration's goal of finding a treatment for Alzheimer's by 2025.
The Department of Health and Human Services is seeking public comments on its updated action plan — which includes efforts in nursing homes — to reduce or eliminate healthcare-associated infections.
More communication is needed between Medicare and Medicaid's respective program integrity officials, a new report suggests.
Insurance stalwart Prudential Financial announced Wednesday that it is exiting the long-term care insurance business.
Medicare's fee-for-service error rate for fiscal 2010 would have fallen if compliance contractors had successfully obtained better claims documentation, a federal report found.
Criminal background checks have not been found to significantly limit the quantity or quality of candidates for nursing home jobs, a top nursing home advocate says. A recent government survey of nursing home administrators paints an accurate picture of what once was forecast as a contentious issues, LeadingAge Director of Advocacy Information Barbara Gay told McKnight's Wednesday.
As required by the Affordable Care Act, the National Quality Forum convened the Measure Applications Partnership (MAP) to develop a coordinated performance measurement approach across PAC and LTC settings.
About 500 Catholic nursing homes in the United States will be affected by a regulation requiring employer health insurance plans to cover contraceptive services.
In a letter to the Department of Health and Human Services, the Assisted Living Federation of America said it was "dismayed to see the lack of acknowledgment of the role assisted living has in caring for individuals with Alzheimer's disease," in the HHS taskforce plan released Jan. 9.
A panel of Alzheimer's experts is kicking off a two-day meeting in Washington today to formalize an Obama administration goal of developing effective ways to treat and prevent Alzheimer's by 2025.
The Department of Health and Human Services announced new standards Thursday that it said would streamline the electronic health claims process and save providers and government health plans $4.5 billion in administrative costs.
In a 260-167 vote Thursday, the House of Representatives approved the FY 2011 budget, which President Barack Obama, Senate Majority Leader Harry Reid (D-NV) and House Speaker John Boehner (R-OH) brokered last week. The budget passed with bipartisan support.
Medicaid cost-cutting strategies the Department of Health and Human Services has suggested to states will not be enough to close $175 billion in cumulative budget gaps—and that's the way it should be. And that's according to HHS Secretary Kathleen Sebelius, based on remarks she made Friday.
The Department of Health and Human Services on Monday rolled out its "National Strategy for Quality Improvements in Health Care," a "first-ever" plan to guide quality improvement measures at local, state and national levels. On Thursday, the 5th Annual McKnight's Online Expo will feature a webcast discussing changing quality improvement initiatives.
President Obama this week signed a measure that will extend the therapy caps exceptions process through 2011, restore the implementation date of RUG-IV to 2010 and delay a Medicare payment cut to doctors.
The Department of Health and Human Services Monday hosted the National Summit on Health Care Quality and Value in Washington, D.C.
The U.S. District Court for the Western District of Oklahoma recently ruled that a federal regulation capping Medicare payments for hospice care providers is invalid. That echoes a Texas district court ruling handed down earlier this year.
Some states will receive additional funding for insurance information programs for seniors after the Centers for Medicare & Medicaid Services terminated a federal contract with Fox Insurance Company.