Long-term care providers are closely monitoring two major lawmaking efforts in Washington this week that have both chambers of Congress debating a plan to end annual Medicare cuts and abolish painful "fixes" to the Medicare physician payment formula.
Despite two delays and a host of costly implementation issues over the past year, most healthcare providers will likely make a successful transition to the 10th round of ICD codes, a General Accountability Office report has concluded.
Two federal lawmakers are calling on the Centers for Medicare & Medicaid Services to crack down on states that don't enforce eligibility and asset-transfer regulations.
Both houses of Congress now officially are considering bills to standardize assessments across various post-acute care provider types. The House Ways and Means and Senate Finance committees introduced companion versions of the "Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014" Thursday, after releasing a draft in March.
The government's oversight of Medicaid managed care organizations is not strong, even though these entities cover about 50 million people and are growing rapidly, according to a recently released report from a watchdog agency.
The Senate Finance Committee has advanced a bill that would repeal the Medicare Part B cap on therapy reimbursements and replace it with a new outpatient therapy payment system.
Nursing home workers would have to recertify their union representation after any major changes in staffing, if a newly proposed bill becomes law.
Aspects of the Medicare Recovery Audit Contractor program came under intense scrutiny during a Senate Finance Committee hearing in June. Lawmakers questioned auditor payment incentives and a sluggish appeals process.
Marilyn Tavenner has become the first confirmed head of the Centers for Medicare & Medicaid Services in seven years. Advocates in the long-term care sector welcomed the news.
Medicare spending should not be cut to reduce the national deficit, according to the majority of respondents ina recent national poll from the Harvard School of Public Health, the Robert Wood Johnson Foundation and the Kaiser Family Foundation.
Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency's fraud prevention system (FPS).
Federal officials testified Tuesday at a Senate hearing that they have made significant strides in cracking down on healthcare fraud and abuse, though at least one prominent Republican said that not enough has been done.
Senate Finance Committee Republicans have submitted a deficit-reduction proposal to the super committee calling for a repeal of the Affordable Care Act and significant changes to Medicare and Medicaid.
Senate Finance Committee Chairman Sen. Max Baucus (D-MT) said that he and fellow Democrats are flexible in their response to Republican attempts to repeal the Affordable Care Act's maintenance-of-effort requirements for Medicaid.
President Obama announced Wednesday that he has renominated Donald Berwick to head the Centers for Medicare & Medicaid Services, six months after naming him chief during a Congressional recess. The first time, Obama bypassed what promised to be contentious Senate confirmation hearings. But this week's move is expected to put Berwick back on the hot seat with many lawmakers.
Dr. Donald Berwick, administrator of the Centers for Medicare & Medicaid Services, delivered testimony before the Senate Finance Committee Wednesday that reflected his support of the Patient Protection and Affordable Care Act. But committee members did not feel they had adequate time during the hearing to ask Berwick about his views.
Senate Republicans have introduced legislation that would repeal the Independent Payment Advisory Board (IPAB) that is part of the healthcare reform law.