Audits - McKnight's Long Term Care News


Federal judge blocks new RAC contracts

Adding to the ongoing controversy around Medicare’s Recovery Audit Contractor program, a judge has ruled that the government cannot award new RAC contracts until disputed payment terms are resolved.

CMS to hold Medicare Advantage conference

The Centers for Medicare & Medicaid Services will hold its Medicare Advantage & Prescription Drug Oversight & Enforcement 2014 Program Audits conference on Tuesday, June 24 .It is designed to “provide insight into how MA and Part D organizations can best prepare for a CMS performance audit.” Participants can attend in-person or virtually.

HHS Inspector General Daniel Levinson

OIG revenues off $1 billion as oversight relaxes

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.

William C. Fisher

CFOs’ 2014 challenge

Your goals as a CFO remain constant: Support the mission. Increase revenue. Consolidate across multiple entities. Budget. Implement internal controls. Facilitate audits and compliance reporting. CFOs want to optimize the organization’s returns by carefully managing all the finances.

Susan LaGrange

Preparing charge nurses for success!

Today more than ever, we hear about the importance of PROACTIVE approaches to prevent as many unfavorable events as possible. One of the key essential proactive approaches that we can implement is to PREPARE our charge nurses for success! There are times, when new nurses start their position that the orientation or teaching period is cut short because they are “doing just fine” and they are “needed” to take a shift by themselves.

Providers prep for NASL annual meeting

Operators, including many providers of ancillary services, are getting ready for the 24th annual meeting of the National Association for the Support of Long-Term Care. The event will take place Oct. 6-8 at the Phoenix Convention Center. Recently confirmed as a featured speaker is David W. Saÿen, administrator for the San Francisco Regional Office of the Centers for Medicare & Medicaid Services. He’ll address implications of the Affordable Care Act, including insurance exchanges. Other sessions will tackle CMS’ “expanding audit empire,” health data exchanges and other top issues.

CMS clarifies long-term care quality review in managed care models

Make CMS audits less burdensome, providers urge lawmakers

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. The committee released a report Thursday, summarizing stakeholders’ input and recommendations for improving the audit process.

Upon further review

Upon further review

Providers recoiling from recent uptick in therapy claim audits should expect even more scrutiny in the future as regulators look to increase surveillance.

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