For more than a year, America’s nursing homes have been besieged by the COVID-19 pandemic, which has tragically claimed the lives of more than 130,000 residents and 1,600 staff. While America’s nursing...
Want to get smacked around? You’ve come to the right place
By
James M. Berklan
Mar 18, 2021
Nursing homes are used to having a target on their back, but that didn’t make this week’s public floggings any easier to absorb.
CMS announces Medicare appeals without administrative law judge hearings
By
Tim Mullaney
Jul 07, 2014
Long-term care providers will be able to appeal certain Medicare claims decisions without going through an administrative law judge hearing, the Office of Medicare Hearings and Appeals (OMHA) announced...
Bill calls for pharma to compensate for ‘doc fix’ solution; would readjust dual-eligibles...
By
Dave Surico
Nov 27, 2013
Senator Jay Rockefeller wants provider groups to support his Medicare Part D plan for a drug rebate bill that calls for money from pharmaceutical companies to replace funds lost from the sustainable growth...
Freeze nursing home doctor pay for 10 years, replace Sustainable Growth Rate system, Senate Finance Committee...
By
McKnight's Staff
May 15, 2013
Medicare rates for physician visits to nursing homes should be frozen for 10 years as the government replaces the Sustainable Growth Rate system, a Medicare Payment Advisory Commission official advised...
Make CMS audits less burdensome, providers urge lawmakers
By
McKnight's Staff
Apr 29, 2013
The Centers for Medicare & Medicaid Services could take a variety of steps to make audits less burdensome, healthcare providers stated in white papers submitted to members of the Senate Finance Committee....
Tavenner confirmation hearing set for next Tuesday
By
McKnight's Staff
Apr 03, 2013
The Senate Finance Committee will hold a confirmation hearing for Marilyn Tavenner, currently the acting administrator for the Centers for Medicare & Medicaid Services, on Tuesday, April 9.
Senate will likely confirm Tavenner, Baucus says
By
McKnight's Staff
Feb 14, 2013
The Senate Finance Committee will hold a confirmation hearing for Marilyn Tavenner, the White House’s nominee to head the Centers for Medicare & Medicaid Services. The committee’s chairman,...
Medicaid directors propose reforms for fraud-detection programs
By
McKnight's Staff
Jul 03, 2012
State Medicaid directors outlined several different strategies for streamlining collaboration between Medicare and Medicaid antifraud efforts in a June 29 letter to members of the Senate Finance Committee.
Senators: Recovery audit contractors might be doubling up tasks; campaign against fraud gears up
By
McKnight's Staff
May 03, 2012
Members of the Senate Finance Committee say they are concerned that the functions completed by independent contractors — known as recovery audit contractors (RACs) and Zone Program Integrity Contractors...