Drug substitutions saved the government $13 million last year, but more drug substitutions under Medicare Part B would have saved an additional $6 million, the Office of Inspector General for Health and Human Services concluded in a recent report to Congress.
The Centers for Medicare & Medicaid Services on Tuesday made official its plan to postpone implementation of a new rule on collecting hundreds of millions of dollars in overpayments until Feb. 16, 2016 — but providers remain on the hook for returning the money before then.
It's true that there is danger in not stopping to smell the roses. Yet, in long-term care, it's understandable if you do just that, given how many hassles are tossed your way.
The New York Department of Health will not competitively bid durable medical equipment despite a new OIG report that says the state could have saved its Medicaid program nearly $9 million over a two-year period.
Operators should be able to offer free or discounted rides to the loved ones of residents being transported to skilled care facilities, asserts a letter from the American Health Care Association.
Skilled nursing operator Daybreak Venture has agreed to pay more than $357,000 to settle charges that it employed workers excluded from federal health programs, authorities recently announced.
Government investigators are preparing reports on skilled nursing facilities' Part B billing practices and background check processes, according to the recently released annual work plan from the Health and Human Services Office of Inspector General.
Slightly more than half of the nation's nursing facilities reported abuse or neglect allegations as required in 2012, a new report from the Office of Inspector General alleges. Such relatively low compliance indicates that more guidance and oversight is warranted, the report concludes.
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.
Nursing homes face federal False Claims Act charges for allegedly overmedicating residents with antipsychotics, other drugsSeptember 04, 2014
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.
Providers could be slapped with monetary penalties for slow response to document requests under OIG proposalMay 13, 2014
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
Providers could be removed from Medicare and Medicaid for obstructing audits under newly proposed ruleMay 12, 2014
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.
RACs were 'most improved' healthcare auditors for getting back money in 2013, government report statesApril 18, 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.
CMS is failing to ensure that terminated skilled nursing facilities and other providers are not billing Medicaid, watchdog agency saysMarch 28, 2014
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.
Government report: 1 in 5 Medicare patients suffers an adverse event while receiving post-acute SNF careMarch 04, 2014
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.