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.
Two California nursing homes routinely overmedicated residents with antipsychotics and other drugs "for the convenience of management," according to federal charges announced Wednesday by the Office of Inspector General.
Only about half of nursing facilities correctly reported abuse or neglect allegations in 2012, indicating that the government needs to provide more guidance and oversight, according to a new report from the Office of Inspector General.
What guidelines should we use for a Medicare audit?
It is critical to have a solid system for discharge planning that begins even before the resident is admitted to the facility. Individualized, resident-centered discharge planning will provide a solid system for quality transition and a crucial component of care at the preadmission assessment process.
Social involvement is No. 1 influence on nursing home residents' daytime sleep ... OIG casts doubt on managed care tax ... In potential Alzheimer's breakthrough, scientists use light to erase, restore rats' memories
Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official's testimony is to be believed as more than just budget-request bluster.
TX joins dual eligibles demo ... Hospitals continue to improperly code for post-acute transfers, OIG finds ... Home hospice owner gets 14-year sentence, $16M fine ... Deadly nursing home fire in South Korea
Revenues from Department of Health and Human Services Office of Inspector General audits and investigations for the the first half of fiscal 2014 are expected to drop almost $1 billion from the same period last year, bolstering previous revelations that dwindling federal funding for the agency could lead to less restrictive oversight in the year to come.
Long-term care providers are facing an expanded list of infractions that could trigger civil monetary penalties, including slow response to document requests. The proposed regulation from the Department of Health and Human Services Office of Inspector General was published Monday in the Federal Register.
The readmission scores of nursing homes will be posted to the Nursing Home Compare website beginning in 2017, and the VBP program will begin Oct. 1, 2018. For the first time, facilities will not just face financial penalties, they will be incentivized to reduce readmissions
Long-term care providers who obstruct audits soon could have their Medicare and Medicaid certifications revoked, according to a newly proposed rule from a top federal watchdog. The Department of Health and Human Services Office of Inspector General has created a rule to implement this ACA provision, which was published Friday in the Federal Register.
One of nursing homes' most vigilant government watchdogs plans to dramatically curb its activities this year, a federal official has told the House Ways & Means Subcommittee on Health. The Department of Health and Human Services Office of the Inspector General anticipates reducing Medicare and Medicaid oversight activities overall by 20% in fiscal year 2014.
Medicare Recovery Audit Contractors dramatically stepped up their overpayment recoveries last year, returning nearly $487 million more to the government than they did in 2012, according to a new report from a federal watchdog agency.
Many skilled care operators struggle to keep up with a seemingly never-ending array of survey and certification regulations. If two lawmakers get their way, providers can look forward to a large heaping of additional rules.
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.
Registered nurses who default on a student loan or fail to pay taxes could put a skilled nursing facility in the crosshairs of federal fraud investigators, a compliance expert told an audience Sunday at the American College of Health Care Administrators annual meeting in Las Vegas.
The Centers for Medicare & Medicaid Services needs to do a better job of ensuring that terminated Medicaid providers in a particular state, including skilled nursing facilities, don't reappear in another state, according to a new government report.
About 22% of Medicare beneficiaries experienced an adverse event during a post-hospitalization skilled nursing facility stay in fiscal year 2011, and the majority of these events were preventable, according to a newly released government report. Post-acute provider groups said many initiatives to lower this percentage already are underway.
The government report on adverse events in post-acute care that was released yesterday shines a light on issues of real concern. However, as long-term care stakeholders and regulators consider the implications of the report and ways to reduce the number of adverse events, I'd suggest a companion report to be read alongside it: "Is Excessive Paperwork in Care Homes Undermining Care for Older People?"
Government investigators will issue a report on skilled nursing facilities' Medicare Part A billing practices later this year, according to the latest annual work plan from the Department of Health and Human Services Office of the Inspector General.
Civil monetary penalties for providers will be revised if two proposed rules from the Department of Health and Human Services Office of the Inspector General are approved.
The Department of Health and Human Services' watchdog arm recently said hospice providers need stronger oversight measures. It also noted more than $5.8 billion in recoveries in fiscal 2013.
While the story of former Gov. McDonnell and his wife's alleged excess may make us shake our heads, it did remind me of the slippery slope many in business or politics can fall down when it comes to gifts.
A nonprofit senior housing and care provider can continue to pay an agency for referring new residents, despite concerns related to anti-kickback laws, according to a newly released government opinion.
A fourth of the 3.3 million Medicare beneficiaries who lived in a nursing home in 2011 were hospitalized for at least one day. This came at a cost of $14.3 billion, according to a Nov. 18 report from the Office of the Inspector General in the Department of Health and Human Services.
On Oct. 31 (an ironic coincidence?) a report from the Office of inspector General frighteningly said Medicare paid some $23 million in benefits for more than 17,000 dead people in 2011. And my husband says I waste money.
Hospice providers could soon be facing more recertification surveys, if the Department of Health and Human Services Office of Inspector General has any say in it.
Recovery audit contractors might be better at reviewing Medicare claims than critics allege, but the Centers for Medicare & Medicaid Services could improve RAC performance evaluations, according to a new government report.
When you complain about bizarre government conditions or regulations, as columnists are wont to do, you usually have to assume you're just whispering into a stiff wind. But now comes word that no less than the Office of Inspector General of your Department of Health and Human Services is jumping on the bandwagon to change the hospital "observation stay" madness.