MACs

We’ve all been waiting for this. We knew it was coming! What am I speaking of? The May 4, 2023, notice of Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review, of course! Since the initiation...

‘Pain champions’ in nursing homes spur better adoption of guidelines: study … State leaders gut proposed visitation law before passing it … Legal scholars want investigation into investigator of...

The Centers for Medicare & Medicaid Services needs to improve how it handles beneficiary data being shared with others, especially research organizations, according to a new report from the Government...

Family’s in-room camera leads to elder abuse charges against two nursing home aides … Pennsylvania aide, nursing student pleads in nursing home abuse case, drops plan to sue facility and college...

Medicare auditors would boost outreach and education efforts to long-term care and other providers under the provisions of a draft bill introduced Thursday by Rep. Kevin Brady (R-TX), chairman of the Ways...

Long-term care providers will feel some effects but should not experience serious disruptions due to the shutdown of the federal government, according to prominent trade associations.

Medicare Administrative Contractors started a manual review process for outpatient therapy claims too quickly, setting the stage for chaos in late 2012, a government review has revealed.

The Centers for Medicare & Medicaid Services should move faster to make changes based on Medicare audits and should have more direct oversight over Medicaid, according to bipartisan legislation introduced...

Therapy providers should review therapy cap denials for 2013 and refund any beneficiary payments for these services, according to a Medicare newsletter released Thursday.

As part of its pushback against the manual review process for therapy claims, the American Health Care Association has launched a clearinghouse to gather provider feedback. AHCA President Mark Parkinson...