A skilled nursing facility discharging a Medicare Part A resident to another SNF is responsible for ambulance transportation fees, and no separate Part B claim should be made for that service, the Centers for Medicare & Medicaid stated in a recent memorandum.
The nation's second-largest ambulance services company has reached a settlement agreement over whistleblower charges of improper business dealings with skilled nursing facilities, Rural/Metro Corporation announced Tuesday.
A federal district court in Connecticut has dismissed a case filed by more than a dozen beneficiaries who challenged Medicare's "three-day rule."
Rep. Jim McDermott (D-WA) has introduced legislation that would eliminate a major hurdle to rehabilitation care and payments: the "three-day rule."
Five members of the Congressional Commission on Long-Term Care have released a full report, providing an alternative to the commission report released last week. The five commissioners split with nine other panel members over that report, saying it should not be presented to Congress as the broad agreement of the group.
The American Medical Association will work to change the 72-hour hospitalization requirement for Medicare Part A coverage of skilled nursing care. Delegates approved this resolution at the AMA annual conference in Chicago on Monday.
Government officials released good news about the long-term solvency of the Medicare program Friday. The projections were based in large measure on lower projected reimbursements for skilled nursing facilities.
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance expert noted at a recent McKnight's Super Tuesday webcast.
Skilled nursing providers should ratchet up Medicare Part A compliance initiatives to meet the increasingly intense scrutiny of the Centers for Medicare & Medicaid Services, a compliance expert said in a McKnight's Super Tuesday webcast. "CMS is serious about this," said Leah Klusch, executive director of The Alliance Training Center.
While CMS tries to figure out how to proceed with the manual medical review process, we continue to track our caps and apply our modifiers. In the meantime, has anyone noticed how our typical Medicare Part B patients have become more medically complex than just a few years ago?
The Centers for Medicare & Medicaid Services is encouraging provider input as it seeks to change the payment system for therapy provided by skilled nursing facilities.
Well, we didn't completely go off the "fiscal cliff," but we're definitely heading for a downward slope.
A proposed rule that would require Medicare providers to return overpayments within 60 days of detection could significantly increase administrative time and costs, an expert says.
Discharge planning is the key element in managing Medicare Part A length of stay. A home assessment can significantly affect the process.
The Medicare adjustments of fiscal year 2012 have left the long-term care profession discussing and debating care strategies to ensure success and mitigate the reductions in reimbursement. A key indicator when analyzing clinical and financial solidity is the facility's clinically anticipated Medicare length of stay.
The federal government spent nearly $48 billion on improper Medicare payments in 2010 according to a new report from the Government Accountability Office. The report was released just prior to a House Oversight Committee hearing on government efficiency.
Medicare beneficiaries with chronic health problems are far less likely to be readmitted to the hospital when discharged to their homes than if they receive other post-acute care services, a new analysis finds.
Medicare's fee schedule for enteral nutrients under Medicare Part B was more than double the prices available to suppliers to nursing homes in 2006, according to a newly released report from the Department of Health and Human Services' Office of the Inspector General.
Whether or not you are a fan of healthcare reform, here's one reason Congress should pass it: It would extend the therapy caps exceptions process.
The Medicare Part A deductible will increase by $32 in 2010 to $1,100, according to the Centers for Medicare & Medicaid Services.