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AHCA seeks injunction of CMS final rule

October 27, 2016  |  Nicole Stempak, Senior Editor

The American Health Care Association filed a complaint that the arbitration provision in CMS’ final Requirements of Participation rule is unlawful. 

CMS releases hospice utilization tool

October 7, 2016  |  Pamela Tabar, Editor-in-Chief

The new data set will allow for easier analytics on how—and where—hospice serCMS releases hospice utilization toolvices are being delivered.

US CareNet launches care management software platform

October 5, 2016  |  Nicole Stempak, Senior Editor

The national senior care service provider purchased the technology to enhance its chronic care management, transitional care management and population health management services for chronically ill patients. 

Feds propose improvements to PACE

September 30, 2016  |  Robert Gatty

The proposed plan is intended to streamline and improve the federal Program of All-Inclusive Care for the Elderly (PACE) to help seniors avoid nursing home care.

CMS issues emergency preparedness rule

September 9, 2016  |  Nicole Stempak, Senior Editor

The Centers for Medicare and Medicaid Services (CMS) found current preparedness regulations were not comprehensive enough to address the complexities of emergency preparedness. The agency has issued new requirements that follow industry best practices for each...

NOTICE Act takes effect

August 25, 2016  |  Robert Gatty

Advocacy groups are urging Congress to pass additional legislation on the NOTICE Act to allow observation time to count toward the required three-day inpatient stay for Medicare. Federal officials are also considering arbitration agreement provisions.

Adding Medicaid to your mix

August 19, 2016  |  Chris Junker

By Chris Junker, CEO of Procura

Leveraging technology can maximize revenue and diversification of home healthcare service, especially in the complex environment of serving the Medicaid-eligible population.

Md. healthcare provider sentenced for fraud, patient death

August 9, 2016  |  Nicole Stempak, Senior Editor

A Maryland healthcare provider who operated a portable X-ray business primarily for seniors has been sentenced to 10 years in prison for insurance fraud that resulted in two known patient deaths.

Patients must be notified of hospital 'observation status'

August 8, 2016  |  Nicole Stempak, Senior Editor

The Notice Act, which went into effect Saturday, would requires hospitals to notify patients of their outpatient status to warn them of potential out-of-pocket hospital expenses and impact on possible nursing home stays funded by Medicare.

USPTS nixes required coverage for visual skin screenings

August 1, 2016  |  Pamela Tabar, Editor-in-Chief

The U.S. Preventive Services Task Force, the leading body for medical screening recommendations, has given visual skin cancer screenings a rating of “I,” which means insurers don’t have to cover it in wellness checks for beneficiaries.

Opioids and older adults

July 26, 2016  |  Pamela Tabar, Editor-in-Chief

The biggest opioid abusers in the country aren’t shady drug dealers or troubled teens—they’re Medicare beneficiaries.

CMS saved $42B by preventing fraud and improper payment

July 21, 2016  |  Nicole Stempak, Senior Editor

The Centers for Medicare and Medicaid Services has saved $42 billion in fiscal years 2013 and 2014 by proactively preventing potential fraud and dispersing improper payments. Additional savings are expected for fiscal year 2015. 


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