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Accountable Care Organizations (ACOs)

The SCOOTER Store is back on the hot seat

February 25, 2013  |  Pamela Tabar, Senior Editor
news

A popular provider of power chairs gets a visit from federal agents in a new Medicare fraud investigation.

Therapy caps: Unraveling the spider’s web for long-term care

February 22, 2013  |  Pamela Tabar, Senior Editor
article

How many of your residents are on track to exceed the $1,900 payment cap on physical or occupational therapies? We examine the current therapy cap situation, and why it's such a challenge for long-term and post-acute care.

Fla. governor reverses stance, now supports Medicaid expansion

February 21, 2013  |  Pamela Tabar, Senior Editor
news

Florida’s governor, once one of the loudest voices against “ObamaCare,” has done a policy about-face and now supports limited Medicaid expansion in the state.

CMS proposes lower Part D deductibles, slashed insurer payments for Medicare Advantage plans

February 19, 2013  |  Pamela Tabar, Senior Editor
news

The Centers for Medicare & Medicaid Services has released its proposals for rate and payment changes for 2014. Seniors may be happy about the Part D drug changes, but insurers aren't as pleased with their end of deal.

GOP appoints first members to LTC commission

February 12, 2013  |  Pamela Tabar, Senior Editor
news

The new congressional commission on long-term care is slowly forming, as Republicans add two members to the bipartisan group.

Report: Location plays a role in readmission rates

February 11, 2013  |  Pamela Tabar, Senior Editor
news

Hospitals made little progress on hospital readmission rates between 2008 and 2010, and some regions have far more readmissions than the national average.

CMS cleans up guidelines on laundry and infection control

February 4, 2013  |  Pamela Tabar, Senior Editor
news

Modern detergents and new laundering technologies have prompted the Center for Medicare & Medicaid Services to revise the laundry notes under F tag 411.

CMS mandates greater disclosure on provider/manufacturer relationships

February 4, 2013  |  Pamela Tabar, Senior Editor
news

How much do you know about your GPO? CMS has instituted stricter disclosure rules pertaining to the financial relationships between providers and drug and device manufacturers.

CMS announces test sites for bundled payment program

January 31, 2013  |  Pamela Tabar, Senior Editor
news

Hundreds of provider sites are ready to test the Centers for Medicare & Medicaid Services’ four new models for restructuring the way episodes of care are paid for.

HHS translates healthcare insurance exchanges for clarity

January 31, 2013  |  Pamela Tabar, Senior Editor
news

State-based health insurance exchanges, already battered by state resistance and party-line politics, have one more hurdle to overcome.

Durable medical equipment providers attract OIG's fraud spotlight

January 30, 2013  |  Pamela Tabar, Associate Editor
news

Although therapy billing has taken a lot of the heat lately in CMS’ hunt for fradulent billing practices, the next big target might be something more durable.

OIG widens crackdown on hospices

January 16, 2013  |  Pamela Tabar, Associate Editor
news

Another hospice gets a federal audit as the Office of Inspector General increases investigations at hospices across the country.

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