MACs

Long-term care providers would receive more education from auditors under draft Medicare bill

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Medicare auditors would boost outreach and education efforts to long-term care and other providers under the provisions of a draft bill introduced Thursday by Rep. Kevin Brady (R-TX), chairman of the Ways and Means health subcommittee.

Government shutdown will not cripple long-term care, leaders say

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Long-term care providers will feel some effects but should not experience serious disruptions due to the shutdown of the federal government, according to prominent trade associations.

GAO: Review process rushed

GAO: Review process rushed

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Medicare Administrative Contractors started a manual review process for outpatient therapy claims too quickly, setting the stage for chaos in late 2012, a government review has revealed.

Bill calls for faster action on RAC reports, more 'expert' Medicaid oversight

Bill calls for faster action on RAC reports, more 'expert' Medicaid oversight

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The Centers for Medicare & Medicaid Services should move faster to make changes based on Medicare audits and should have more direct oversight over Medicaid, according to bipartisan legislation introduced Tuesday. "The Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013" proposes a variety of reforms to cut down on waste, fraud and abuse. The PRIME Act was introduced by Sens. Tom Carper (D-DE) and Tom Coburn (R-OK), and Reps. John Carney (D-DE) and Peter Roskam (R-IL).

CMS: Providers may need to reimburse beneficiaries due to inaccurate therapy denial codes

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Therapy providers should review therapy cap denials for 2013 and refund any beneficiary payments for these services, according to a Medicare newsletter released Thursday.

AHCA opposes manual review system for therapy claims, launches provider feedback clearinghouse

AHCA opposes manual review system for therapy claims, launches provider feedback clearinghouse

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As part of its pushback against the manual review process for therapy claims, the American Health Care Association has launched a clearinghouse to gather provider feedback. AHCA President Mark Parkinson described the RAC-led review process as "bifurcated, confusing and wholly inappropriate" in a four-page letter sent to Acting CMS Administrator Marilyn Tavenner last week.

CMS wants burdens eased

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Providers will have their say about the future of Medicare Administrative Contractors.

OIG: Medicare contractors, antipsychotics in SNFs to get a closer look

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The Medicare contractors keeping close tabs on long-term care facilities will be subject to oversight too, according to a federal working plan released this week.