Ask the payment expert … about continuing RAC requests
By
Patricia Boyer
Jul 01, 2014
I thought the Recovery Audit Contractors (RACs) were on hold. Why did we still get a request for records?
Power to the people? That could mean trouble
By
James M. Berklan
Apr 01, 2013
There are plenty of legal concerns that keep nursing home administrators awake at night. Many times, the demons can be kept under the bed or locked in the closet. But not always.
Frequent testing of risk models strengthens Medicare fraud prevention systems, official says
By
McKnight's Staff
Sep 20, 2012
Increasingly sophisticated fraud prevention systems are allowing the federal government to zero in on suspect billing in long-term care facilities, an official said Tuesday.
Nonprofit providers bear burden of more frequent compliance audits, survey finds
By
McKnight's Staff
Aug 13, 2012
Nonprofit healthcare providers are disproportionately targeted by outside compliance audits when compared to their for-profit counterparts, a new report asserts.
ZPICs: Dangerous and ready to take down providers
By
Elizabeth Newman
Jul 24, 2012
Healthcare reform: No matter how much you may loathe it, there’s no way around how certain ideas, like pay for performance, aren’t going away.
Wearing the bull’s eye not much fun
By
John O'Connor
Jun 25, 2012
If you are a skilled care operator, it might seem as if a big target has been placed squarely on your back.
Letter: Provider group accuses CMS of using Medicare audits for ‘stealth policymaking’ purposes
By
McKnight's Staff
Jun 20, 2012
A provider group is taking the Centers for Medicare & Medicaid Services to task for improperly using Medicare audits as a means of curtailing high-intensity therapy in skilled nursing facilities.