Medicaid managed care success hinges on provider input, experts say
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Nov 01, 2016
As the number of states adopting managed long-term services and supports programs increases, healthcare providers will benefit from making their thoughts and concerns known to managed care stakeholders,...
RAC document request limit to drop
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Nov 12, 2015
The number of medical records a recovery audit contractor can request from a provider will take a serious hit starting January 1.
CMS update lets auditors request more documents
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May 10, 2016
Recovery audit contractors would be allowed to request additional documents from providers with high Medicare claim denial rates, the Centers for Medicare & Medicaid Services said last week.
Court grants AHCA’s request for injunction of arbitration ban
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Nov 08, 2016
A federal court on Monday granted the American Health Care Association’s motion to stop the ban on the use of pre-dispute arbitration agreements before it takes effect on Nov. 28.
Nursing assistant fired for requesting post-hurricane help on Facebook
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Sep 26, 2017
A Florida nursing home fired one of its nursing assistants earlier this month after she used social media to call for help for the facility in the aftermath of Hurricane Irma, according to local reports.
Judge denies HHS’ request to tweak Medicare backlog deadlines
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Jan 06, 2017
A federal court has shot down the Department of Health and Human Services’ request that it reconsider an early December ruling requiring the agency to clear its backlog of Medicare appeals by the...
HIPAA audits intensify with document requests for ‘unlucky’ providers
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Jul 19, 2016
More than 150 healthcare organizations received document requests last week as part of the second phase of HIPAA audits, according to the Health and Human Services Office for Civil Rights.
A Day in the Life: Oh, the places they’ll go
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Jan 08, 2018
It began in 2011 with one resident’s request: He wanted to visit Disney World.
Provider requests new trial following jury’s $347 million verdict
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Apr 03, 2017
A Florida-based skilled nursing chain is requesting a new trial in a case that landed it with a $347 million jury verdict.
State group seeks injunction to force SNF to hand over records in neglect suit
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Apr 11, 2017
A Michigan disabilities group is requesting an injunction against a nursing home that would force the facility to hand over records.
