Medicare

Push for therapy caps' elimination takes on new urgency

Push for therapy caps' elimination takes on new urgency

By

Several therapy associations Thursday called on Congress to permanently end Medicare Part B caps on physical, speech and occupational therapy by adding language to a funding measure expected next week.

Special Open Door Forum on Medicare cards Jan. 23

The Centers for Medicare & Medicaid Services is holding a Special Open Door Forum conference call on new Medicare card numbers at 2 p.m. Eastern on Jan. 23.

Republicans reconsider targeting Medicare, Medicaid in election year

By

Last weekend's Camp David retreat has Republicans rethinking their earlier ambitions to reform safety-net programs, including Medicare and Medicaid, fearing a lack of support heading into midterm election season.

3 bold predictions for the coming year in long-term care

3 bold predictions for the coming year in long-term care

By

There's nothing like a budding new year to awaken that urge in scribes to warn better-informed readers what to expect. It must be some kind of occupational hazard. So in the spirit of not always being right but never being in doubt, here are three predictions you can take to the bank.

Dems threaten allowing automatic Medicare cuts to kick in

Dems threaten allowing automatic Medicare cuts to kick in

By

After tax votes, Congress' focus may shift to mandatory spending cuts and Medicare.

Loophole allows low volume Medicare providers exemption from auditing

Loophole allows low volume Medicare providers exemption from auditing

By

The current implementation of Medicare's sliding scale ADR limit policy is preventing the recovery of improper payments and has afforded a significant portion of providers with immunity from billing accuracy review due to the low volume of claims they submit

Not so fast: Some Republicans reluctant to pursue Medicare cuts in 2018

By

Some Senate Republicans are skeptical about cutting spending on social programs — Medicare included — in the months leading up to the 2018 elections.

A no-brainer plan for Medicare and Medicaid

A no-brainer plan for Medicare and Medicaid

By

But for those of you who think outrageous political trickery is dead, please let me point you in the direction of Capitol Hill. For we appear to be in the midst of one of the better con jobs to come along in quite some time, and it's threatening your supply of Medicare and Medicaid dollars.

AARP urges lawmakers to exempt Medicare from tax bill cuts

By

One of the nation's largest senior advocacy groups is warning lawmakers of the "lasting impact" of Medicare cuts that would be potentially included in the GOP's final tax reform bill.

House threatening Medicare and Medicaid reform in 2018

House threatening Medicare and Medicaid reform in 2018

By

Long-term care providers may be headed for another major Medicaid-funding fight in 2018 if House GOP leaders get their way.

'Extenders' package would repeal therapy caps, but SNF payment changes may be included

'Extenders' package would repeal therapy caps, but SNF payment changes may be included

By

Skilled nursing providers found both good news and bad news Thursday in a House bipartisan agreement statement on a Medicare extender package.

Medicare cuts, individual mandate repeal rolled into GOP tax bill

Medicare cuts, individual mandate repeal rolled into GOP tax bill

By

Republican Senators on Tuesday added a provision to their tax overhaul bill that would roll back the individual insurance mandate included in the Affordable Care Act.

The hell with this guy

The hell with this guy

By

Speaking at the same Mandalay Bay complex in Las Vegas from which a "madman" committed the deadliest mass shooting by a single person in U.S. history just two weeks earlier, American Health Care Association CEO Mark Parkinon delivered a bold, unscripted edict.

OIG wants $30M refund from rehab in NJ

By

Fox Rehabilitation received at least $29.9 million in Medicare Part B payments for services that did not meet Medicare requirements, according to an August report by the Office of the Inspector General of the U.S. Department of Health and Human Services.

GOP budget that cuts $1 trillion from Medicaid over next decade may be smokescreen

By

The House passed a budget proposal on Thursday that would slash roughly $1 trillion from the Medicaid program over the course of 10 years. But representatives aren't planning on seeing those cuts through, according to some observers.

CEO in nursing home podiatry scheme given 1 year in prison

By

The former CEO of a healthcare company caught billing Medicare for unnecessary podiatry services for nursing home residents was sentenced last week to serve a year in prison and pay $1.8 million in restitution.

When no comment says a lot: A tale for nursing homes and hospitals

When no comment says a lot: A tale for nursing homes and hospitals

By

One should never forget that some of the most brutal fights occur between brothers or sisters.

Person-centered care pushing aside nonsense

Person-centered care pushing aside nonsense

By

I found it stunning when I recently read that more than a half million people had taken advantage of new Medicare coverage that pays for end-of-life discussions with their doctors. And there was hardly a peep about it.

How to police recidivist nursing homes: 3 strikes and you're out

How to police recidivist nursing homes: 3 strikes and you're out

By

The Centers for Medicare & Medicaid Services has the option of terminating nursing homes from the Medicare and Medicaid programs that it deems harmful. But to say the government has been reluctant to do so would be an extreme understatement.

MedPAC calls for payment reforms to come even earlier

MedPAC calls for payment reforms to come even earlier

By

Federal lawmakers' advisory panel for Medicare made it official in its report to Congress in June: It recommends implementation of a unified post-acute payment system beginning in 2021 — three years earlier than first proposed.

Paltry pay raise not unexpected

By

Nursing home operators will receive a $390 million Medicare pay increase in fiscal 2018, the Centers for the Medicare & Medicaid Services announced in a rule proposed in late April.

With pay hikes like this, you might need a bankruptcy attorney

With pay hikes like this, you might need a bankruptcy attorney

By

President Trump just announced a new plan to slash tax rates for long-term care operators and other businesses. But his desire to aid the corporate class has apparently not made its way to the Centers for Medicare & Medicaid Services.

Your money's no good here

Your money's no good here

By

I'd say the thing we write about most often in this line of work is payment issues. As a long-term care provider, you are eternally under pressure with whether there will be enough to pay for everything.

Price says the right things on Medicare, Medicaid

Price says the right things on Medicare, Medicaid

By

It would be unwise to assume that Rep. Tom Price (R-GA), the likely new head of Health and Human Services, is always going to align with the values of long-term care providers. But in the midst of a whirlwind of news around cabinet appointments, it is worthwhile for nursing home providers to take a deep breath and read about what Price did — and more importantly, did not — say this week.

Woman pleads guilty in Medicare genetic testing scheme targeting seniors

By

As interest in genetic testing rises, one woman faces 10 years in prison for a $1 million Medicare fraud scheme that lured seniors into unnecessary genetic testing.

Medicare spending growing at slower rate

By

Medicare spending slowed to a 4.5% growth rate in 2015, even as payments for nursing homes increased, according to a new analysis.

What the debate's entitlement discussion means for LTC

What the debate's entitlement discussion means for LTC

By

While I never expected long-term care to be a serious part of discussion within the three presidential debates, the wonky part of my heart still jumped for joy when moderator Chris Wallace asked about entitlement programs during the last debate Wednesday night.

Nipping improper Medicare payments in the bud

Nipping improper Medicare payments in the bud

By

Does the Centers for Medicare & Medicaid Services need its own Barney Fife to set its house in order? Some seem to think so.

Female docs paid less by Medicare than male counterparts, study finds

By

Long-term care providers working with female physicians may be surprised to learn that Medicare pays them less than their male peers, according to a new analysis.

Obama administration races to make Medicare changes as healthcare industry objects

Obama administration races to make Medicare changes as healthcare industry objects

By

As the clock clicks down on President Barack Obama's days in office, the administration remains focused on adjusting Medicare reimbursements, much to the annoyance of healthcare providers.