Medicare/Medicaid

CMS Publishes FY 2014 Proposed Payment Guidance

May 7, 2013     Charlene Marietti
news

CMS publishes proposals for changes to FY 2014 payment rates, quality data collection and reporting requirements, and qualification criteria for long-term care providers in the Federal Register. 

National hospice provider charged with false claims submissions

May 6, 2013     Charlene Marietti
news

Vitas Hospice Services is charged by DOJ with engaging in business practices that resulted in inappropriate patient admissions and upcoded claims submissions to Medicare.

CMS proposes $180 million increase in hospice reimbursements

May 1, 2013     Pamela Tabar, Senior Editor
news

CMS has proposed a new rule that would raise hospice payments under Medicare by $180 million next year.

A resurgence of fraud cases based on quality allegations

April 25, 2013     Jason E. Bring, Esq.
blog

Alleged poor quality charges are landing providers in the poorhouse. A look at cases based on poor quality of care and the subsequent verdicts handed down.

CMS sweetens the deal for fraud whistleblowers

April 25, 2013     Pamela Tabar, Senior Editor
news

Know about someone conducting sneaky Medicare billing practices? CMS’ new whistleblower proposal might pay you more than your boss does.

Senate committee approves Tavenner for CMS helm

April 24, 2013     Pamela Tabar, Senior Editor
news

Marilyn Tavenner has obtained a vote of confidence from a Senate committee in her bid to become the first confirmed administrator of the Centers for Medicare & Medicaid Services in seven years.

Industry leaders weigh in on President Obama’s FY2014 budget proposal

April 23, 2013     Bob Gatty
article

This summer will be a busy one as Congress deliberates the 2014 budget and how, without revisions, its proposed cuts to Medicare may affect the physicians, hospitals and long-term care providers.

The pros and cons of per capita caps for Medicaid

April 22, 2013     Pamela Tabar, Senior Editor
news

Federal agencies and lawmakers keep revising one possible way to curb Medicaid spending growth: Per capita caps.

SNFs soon may face penalties for avoidable readmissions

April 16, 2013     Sandra Hoban, Managing Editor
news

Next year, in an effort to improve quality of care, skilled nursing facilities may share the penalties already levied to hospitals for 30-day Medicare hospital readmissions.

Obama budget will cut Medicare but boost Medicaid and mental health

April 11, 2013     Pamela Tabar, Senior Editor
news

President Obama's new budget, released by the White House Wednesday, includes plenty of cuts, but also contains a few surprising increases.

CMS releases guidelines on delegated nursing roles in SNFs

April 4, 2013     Pamela Tabar, Senior Editor
news

A new Centers for Medicare & Medicaid Services document clarifies what tasks physicians may delegate to nurses within nursing homes serving Medicare and Medicaid residents.

One-on-one with.... Ruta Kadonoff

April 2, 2013     Pamela Tabar, Senior Editor
article

Senior Editor Pamela Tabar talks with Ruta Kadonoff, vice president of quality and regulatory affairs for the American Health Care Association/National Center for Assisted Living (AHCA/NCAL), about quality in long-term care—and why being able to measure it will be important for business.

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