Patients on chemotherapy likely not fully protected by COVID vaccine … Unauthorized nursing home COVID tests lead to audit demands … ‘Game-changing’ wellness model takes person-centric approach...
Headed for the Provider Relief Fund reporting portal? Consider these tips first.
Jul 20, 2021
Confusion and uncertainty are clouding the landscape as nursing homes across the country begin reporting lost revenues and COVID-19 related expenses that would allow them to keep their share of federal...
Spring cleaning 2021: Will your rehab team pass the white-glove review?
Apr 22, 2021
Spring is in the air. Time to open the doors, let some fresh air in, and clean above, under and between every surface in our homes. Spring is a season that allows my obsessive cleaning habits to become...
Clinical briefs for Thursday, April 22
Apr 22, 2021
Preserving physical health boosts cognitive engagement in dementia …. Dementia is an age‐independent risk factor for severe COVID, researchers find … U.S. has partly vaccinated 80% of seniors...
‘Audits are back,’ and COVID-19 care is in the hot seat
Apr 21, 2021
Flexibilities granted to providers during the ongoing public health emergency are likely to result in increased medical reviews and automated denials, a therapy billing specialist is warning.
AHRQ offers new nursing home audit resources aimed at COVID prevention
Apr 05, 2021
The Agency for Healthcare Research and Quality has released a comparison tool for differentiating competency checks vs. observational audits, and a step-by-step guide to help establish an effective observational...
In case you missed it, there’s a new Medicare audit process coming
Aug 22, 2017
it’s understandable if a story we ran last — about the Centers for Medicare & Medicaid Services revamping its Medicare audit process — slipped under your radar. Here’s what you need to...
Federal judge blocks new RAC contracts
Sep 04, 2014
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
Jun 12, 2014
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...
OIG revenues off $1 billion as oversight relaxes
May 28, 2014
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...