No more guessing: After months of drafting and reviewing, the Final Testing Method for electronic medical records (EMRs) has been published by the Office of the National Coordinator for Health Information Technology (ONC). Read More »
The Centers for Medicare & Medicaid Services' Fraud Prevention Program gets a decent grade in its Year One evaluation, but the inspectors also have a few suggestions. Read More »
Whether legislation and regulation were proposed, enacted or pending, state governments had a busy year reviewing the assisted living industry. Read More »
The Department of Health & Human Services clarified its position Monday on funding ratios for state Medicaid expansions and published an extensive FAQ list on state health insurance exchanges. Read More »
Healthcare policy expert Blair Childs, vice president for public affairs at Premier healthcare alliance, gives his "insider impressions" of what’s happening on the Hill regarding a possible "doc-fix," Medicare funding, and possible Affordable Care Act policy changes as the deadline clock ticks down on the fiscal cliff. Read More »
Healthcare associations appeal to Congress to keep the therapy cap off the calendar for another year, as the clock ticks toward the December 31 Congressional deadline. Read More »
The Office of Inspector General (OIG) is continuing its aggressive efforts to identify fraud among healthcare providers. In October, the OIG released its 2013 work plan, which outlines the audit and enforcement initiatives for Medicare and Medicaid providers in the coming year. Let's take a look at the Nursing Homes section of the work plan. Read More »
Speaker of the House John Boehner delivered a new proposal to solve the budget crisis this afternoon-- including billions in healthcare cuts. Read More »
A Nashville hospice care provider has become the first hospice organization in the country to publicize its care quality data, raising the bar for others in the palliative care industry. Read More »
There are plenty of potential holes in the Meaningful Use incentives programs for electronic health records—and too many temptations for cheating, says a new OIG report. Read More »
In the wake of federal reports of rampant fraudulence Medicare billing, the letters begin arriving at hospitals and other healthcare sites: Medicare wants its money back. Read More »
The release of today's proposed rules brings the Department of Health & Human Services a few steps closer in building the rules for state health exchanges (HIX). Read More »
The latest version of the Nursing Home Inspect tool includes more ways to search nursing home survey data and to assess the historial track record of a skilled nursing facility. Read More »
The Wall Street Journal reported that the OIG is using the term “Operation Vacuum Cleaner” to refer to its review of nursing home billing issues. This term is perhaps even more foreboding than the report itself. With the fiscal cliff looming and sharp negotiations set to begin over the future of Medicare reimbursement, the timing and substance of this report are less than ideal for an industry already under fire. Read More »
Today was to be decision day for states on whether they intend to participate in the new state health exchange program, but an eleventh-hour extension from Health and Human Services Secretary Sebelius gives the remaining eight states another few weeks to decide. Read More »
The Office of Inspector General continues to unearth massive misreporting and over-billing in nursing home claims, especially where therapy is involved. Read More »
The Department of Health and Human Services has submitted another rulemaking piece on state health insurance exchanges to the Office of Management and Budget—the last step before publication. Read More »
Long-term care organizations are using an aggressive advertising campaign to tell Congress to end the deep cuts to Medicare and Medicaid reimbursements. Read More »
Under the Centers for Medicare & Medicaid Meaningful Use incentive program for the use of electronic health records, eligible providers have received more than $8 billion in incentive payouts since the program began in early 2011, according to this week's report. Read More »
The votes are in: The Obama Administration now has four more years to further the healthcare initiatives begun under the 2010 Affordable Care Act. So, what happens next? Long-term care leaders, providers and industry experts weigh in on the implications of President Obama's reelection for the U.S. healthcare system and, specifically, the LTC industry. Read More »
An emergency response meeting held by the Centers for Medicare & Medicaid Services answers some questions on coping with the aftermath of Hurricane Sandy in New York, but many issues remain for long-term and acute care facilities in other states. Read More »
Are transitions of care on your mind? You’re not alone. Read our on-site coverage of the National Transitions of Care Coalition (NTOCC) Midwest Regional Summit, held this month in Cleveland, for tips and free tools to improve your TOC efforts. Read More »
A national learning collaborative, launched at this week’s LeadingAge conference, is focused on creating new financial and service strategies for senior living. Read More »
Long-term care facilities advised to conduct background checks on employees with direct access to residents to reduce abuse, neglect and theft. Read More »
A new study suggests that nonmedical factors may hamper hospitals’ efforts to meet CMS’ outcome and readmission guidelines that went into effect Oct. 1. Read More »
The Centers for Medicare & Medicaid Services’ (CMS’) skilled nursing facility 2012 Final Rule has had a huge impact on SNFs that were still adjusting to the transition to MDS 3.0 the previous year. Read More »
A federal strike force from the Department of health & Human Services and the U.S. Atorney General’s office have charged almost 100 people with a total of $430 million in fraudulent Medicare billing practices. Read More »
Sharon A. Nazarchuk and Timothy Legg studied a pool of skilled nursing facilities to uncover discrepancies in survey data, including why skilled nursing facilities can fail to employ qualified activity directors yet still escape citations during the survey process. Read More »
CMS’ new program to make hospitals financially accountable for excessive readmissions stumbles at the starting gate, as CMS issues a document to correct errors in the final rule. Read More »
