New CMS guide serves as road map for Medicare coverage, coding
Sep 02, 2008
The Centers for Medicare & Medicaid Services hopes that a new online guide for Medicare beneficiaries and healthcare providers will be a “one-stop shop” for information on coverage, coding...
Federal agencies at odds: Medicare payment error rate much higher than first reported
Aug 27, 2008
The Office of the Inspector General has issued a report claiming that the Medicare payment error rate for durable medical equipment in 2006 was significantly higher than the 7.5% rate claimed by the Centers...
OIG to release final report uncovering CMS’ inaccurate Medicare fraud reduction claims
Aug 26, 2008
The Department of Health and Human Services’ Office of Inspector General is expected to file a final report this week criticizing the Centers for Medicare and Medicaid Services for overstating its...
New CMS document to aid states in integrating Medicare, Medicaid for dual eligibles
Aug 26, 2008
The Centers for Medicare & Medicaid Services recently released a tool for states that want to integrate and coordinate Medicare and Medicaid services for dual-eligible beneficiaries.
Prevalence of Alzheimer’s disease sparks health reform recommendations
Aug 25, 2008
The U.S. healthcare delivery system may not be equipped to handle the expected growth in patients with Alzheimer’s disease, according to a new report by Avalere Health.
CMS: MDS 2.0 versus MDS 3.0 Comparison Crosswalk draft available
Aug 25, 2008
The Centers for Medicare & Medicaid Services has released a draft Comparison Crosswalk to aid in the transition between MDS 2.0 and MDS 3.0.
Congress cries foul over report of inaccurate DME fraud prevention claims
Aug 22, 2008
Many lawmakers are outraged after allegations surfaced that the Centers for Medicare & Medicaid Services misled Congress into thinking it had significantly reduced the number of fraudulent claims for durable...
Democrats include long-term care reform in policy platform
Aug 21, 2008
The Democratic Party has included long-term care reform as a plank in its policy platform.
Experts: Preventing re-hospitalizations key to Medicare solvency
Aug 18, 2008
Medicare could save up to $12 billion per year if it would reduce the number of Medicare patients readmitted to the hospital within 30 days of a previous stay. Those savings, in turn, could help fund physician...
CMS sets deadline of 2013 for installation of nursing home sprinkler systems
Aug 14, 2008
Long-term care facilities have exactly five years to fully equip their facilities with automatic sprinkler systems, according to a final rule published Wednesday by the Centers for Medicare & Medicaid...