Misinformation About RAC Program Persists, McKnight’s Long-Term Care News & Assisted Living | July 13, 2015
Recently, the Medicare Payment Advisory Council released their Report to Congress on Medicare and the Health Care Delivery System, which provides the rationale for recommended changes to the Medicare Fee-For-Service Recovery Audit Contractor program. Read more
Audits Reveal Vast Medicare Advantage Billings Errors, Overcharging, McKnight’s Long-Term Care News & Assisted Living | July 12, 2015
Privately run Medicare Advantage plans are plagued with widespread overcharging and billing errors, according to recently released government audits. Read more
Bundled Payments for Hip, Knee Replacements Would Put Pressure on SNFs, McKnight’s Long-Term Care News & Assisted Living | July 12, 2015
The Centers for Medicare & Medicaid Services plan to test bundled payments for hip and knee replacements could spell trouble for skilled nursing facilities, experts warn.
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Government Scrutiny with Physician Contracts, McKnight’s Long-Term Care News & Assisted Living | July 10, 2015
The government is increasing its scrutiny of skilled nursing facilities that might be tempted to offer a physician a role as a Utilization Review Physician or Physician Medical Director as an inducement to refer residents to a particular facility. Read more
Providers Applaud CMS Proposal to Cover Advance Care Planning, McKnight’s Long-Term Care News & Assisted Living |July 9, 2015
Long-term care organizations are applauding a proposal released by the Centers for Medicare & Medicaid Services that would reimburse healthcare practitioners for discussing advance care planning with patients. Read more
Aetna’s $37 Billion Humana Deal Driven By Value-Based Care Push, McKnight’s Long-Term Care News & Assisted Living | July 6, 2015
Value-based care and increased enrollment in Aetna’s Medicare Advantage program figure to be two of the biggest winners thanks to the insurance giant’s recently announced $37 billion acquisition of competitor Humana. Read more
Skilled Nursing Facility for Changes in Therapy: Improvements are Needed, Office of Inspector General | June 30, 2015
In fiscal years 2011 and 2012, CMS implemented new policies to address concerns that billing by skilled nursing facilities (SNFs) did not adequately reflect changes in the amount of therapy that a beneficiary receives during a SNF stay. Read more
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