Department Of Health And Human Services

Rhode Island is No. 1 HIPAA enforcer in state rankings

By

Healthcare providers may feel more pressure of Health Insurance Portability and Accountability Act enforcement in states like Rhode Island and Alaska, according to data compiled by TrueVault, a HIPAA compliance company.

20% of Medicare patients harmed due to improper care; nursing homes among areas needing more attention, researcher says

20% of Medicare patients harmed due to improper care; nursing homes among areas needing more attention, researcher says

By

Nearly one in five Medicare patients fall prey to medically related injuries unrelated to their underlying disease or condition, according to new research.

OIG changes its mind on referral services discounts

OIG changes its mind on referral services discounts

By

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.

Federal government approved too much funding for billion-dollar Medicaid demonstration projects, GAO finds

By

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.

OIG: Hospitals err 18% of the time with point-of-admission indicators

By

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.

Nursing homes are hospitals' silent cheering section on this one

Nursing homes are hospitals' silent cheering section on this one

By

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.

Almost a fifth of SNF nursing aides charged with abuse and neglect had prior convictions, OIG says

By

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.

HHS finalizes ICD-10 delay

HHS finalizes ICD-10 delay

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.

House members raise concerns over Medicare Advantage demonstration project

House members raise concerns over Medicare Advantage demonstration project

By

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 homes are not meeting federal standards for antipsychotic use, OIG review finds

Many nursing homes are not meeting federal standards for antipsychotic use, OIG review finds

By

Many nursing facilities are not compliant with federal regulations governing residents who take atypical antipsychotic medications, a federal review released Monday reveals.

OIG: Volunteer Medicare fraud patrols had declining recovery in 2011

By

The success rate of Medicare's volunteer force of fraud-detecting beneficiaries is declining, a government report finds.

Lawmakers blast federal efforts to monitor and police Medicare fraud -- again

Lawmakers blast federal efforts to monitor and police Medicare fraud -- again

By

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.

HHS names coordinated care innovation winners

By

The Department of Health and Human Services has announced its newest round of grant recipients under its Health Care Innovation Awards.

Measuring performance, coordinating care both crucial to lowering costs among the chronically ill, report says

By

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.

House and Senate introduce resolutions for Alzheimer's treatment

By

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.

HHS healthcare-associated infection reduction plan is open for public comments

By

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 collaboration between Medicare and Medicaid fraud detection programs is needed, report finds

By

More communication is needed between Medicare and Medicaid's respective program integrity officials, a new report suggests.

Prudential to discontinue individual long-term care insurance policies

By

Insurance stalwart Prudential Financial announced Wednesday that it is exiting the long-term care insurance business.

Lack of documentation accounts for Medicare fee-for-service error rate

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.

Survey: Most nursing home administrators say background checks are helpful, efficient

Survey: Most nursing home administrators say background checks are helpful, efficient

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.

Long-term care stakeholders submit quality measures performance report to HHS

Long-term care stakeholders submit quality measures performance report to HHS

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.

Catholic nursing homes will be affected by HHS contraception regulation

About 500 Catholic nursing homes in the United States will be affected by a regulation requiring employer health insurance plans to cover contraceptive services.

ALFA: Alzheimer's taskforce ignores assisted living options

ALFA: Alzheimer's taskforce ignores assisted living options

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.

Alzheimer's experts to finalize Obama administration taskforce plan

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.

HHS: New electronic claims regulation could save providers time, money

HHS: New electronic claims regulation could save providers time, money

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.

House passes 2011 budget proposal

House passes 2011 budget proposal

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.

Proposed state Medicaid cuts cause backlash from nursing home operators, wouldn't close budget gap anyway, top official says

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.

HHS unveils new national quality improvement strategy

HHS unveils new national quality improvement strategy

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 signs Medicare extenders bill, Congress passes bill to create HHS national Alzheimer's project

President signs Medicare extenders bill, Congress passes bill to create HHS national Alzheimer's project

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.

HHS holds summit on healthcare reform's impact on quality

The Department of Health and Human Services Monday hosted the National Summit on Health Care Quality and Value in Washington, D.C.

Don't miss any McKnight's news

Featured Articles