With little to show for past efforts, SNFs under the microscope again on readmissions
Oct 27, 2022
A federal watchdog’s announcement this week that it plans to more closely scrutinize “possibly preventable” readmissions of skilled nursing patients to hospitals underscores the federal government’s...
OIG partly blames CMS for Life Care Centers deficiencies
Sep 20, 2022
A federal watchdog said a lack of communication by the Centers for Medicare & Medicaid Services may have caused infection control deficiency citations at Life Care Centers of America nursing homes between...
Brius Healthcare gets most citations for serious deficiencies, but it’s the state that gets the...
May 04, 2018
California’s oversight agencies have not met their responsibilities when it comes to ensuring quality care at the state’s nursing homes, even as the three main providers there have grown into...
Lawmakers target SNFs’ big payer for fraud, waste cuts
Apr 08, 2018
A pair of Congressional subcommittees focused on oversight have banded together to examine ways to reduce Medicaid fraud and waste.
Los Angeles County failed in investigating nursing homes, state says
Jun 23, 2014
The Los Angeles County Department of Public Health did not follow standard policies pertaining to nursing home inspections, according to a review released by the state Department of Health.
Providers could be removed from Medicare and Medicaid for obstructing audits under newly proposed rule
May 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...
Government presses therapy provider to repay $3 million in Medicare reimbursements
Jun 21, 2013
A New Jersey-based outpatient therapy provider should pay back the government for $3.1 million in improper Medicare reimbursements identified in a recent audit, according to the Department of Health and...
CMS widens audits, hones in on Part A claims, expert says
James M. Berklan
Jun 01, 2013
The Centers for Medicare & Medicaid Services has increased its scrutiny of Medicare Part A filings recently and as a result, has reclaimed more funds than ever from providers, a long-term care compliance...
CMS to revise audit practices
Jun 01, 2013
Here’s the good news for providers dealing with Recovery Audit Program contractors: The federal government will make fewer additional document requests, starting this month. Now the not-so-good news:...
Mar 02, 2013
Virginia — State Sen. Bill Stanley (R) has introduced a bill requiring that nursing homes, assisted living facilities and other certified nursing facilities obtain minimum levels of insurance. If SB70...