CMS responds to OIG concerns about hospice care in assisted living
By
Lois A. Bowers
Apr 21, 2016
The Centers for Medicare & Medicaid Services indicated that it has not ruled out regulatory reform as it looks to discourage hospice programs from targeting some Medicare beneficiaries who live in assisted...
More news for Wednesday, Nov. 16
Nov 15, 2016
Medicare isn’t really going broke … What the Trump presidency means for senior citizens … Ability to recognize and recall odors may identify those at risk for Alzheimer’s disease...
$1.8 million healthcare scam defrauded senior living residents, Justice Department says
By
Kimberly Bonvissuto
Jul 01, 2020
An Omaha, NE, man was sentenced to 46 months in prison for using the personal information of senior living residents in several states to defraud Medicare and state Medicaid agencies out of thousands of...
Longevity-Humana partnership announces joint venture with 27 Touchstone communities in Texas
By
James M. Berklan
Oct 16, 2023
Longevity Health Plan and Humana Inc. have announced that their managed care partnership has picked up speed with a new caregiving collaboration with Touchstone Communities. They have formed an Independent...
Business briefs for Monday, April 13
Apr 13, 2020
CMS proposes 2.3% Medicare increase for 2021 … Welltower and HCR ManorCare founder Fritz Wolfe dies … NIC MAP: Senior living occupancy falls slightly in first quarter … BMO Harris provides $12.3M...
AHCA/NCAL: CMS Accelerated Payment program providing quick support
By
Amy Novotney
Apr 16, 2020
The surest bet for quick financial help for long-term care operators right now appears to be through the Centers for Medicare & Medicaid Services’ Accelerated Payment Program, Consolidated Billing Services...
Medicare revenue per patient day decline plateaued mid-summer: NIC MAP Vision
By
Kathleen Steele Gaivin
Oct 07, 2021
After a steady decline since January, Medicare revenue per patient day held steady month over month from June through the end of July, at $560, according to market trends data NIC MAP Vision published...
Caught in a Medicare claims appeals case? You may not have to immediately turn over disputed funds.
By
John O'Connor
Apr 06, 2018
Senior living firms engaged in a Medicare claims appeal currently are required to return any disputed payments right away. A recent court ruling, however, gives operators a chance to retain disputed amounts...
They play games, you pay the price
By
John O'Connor
Apr 22, 2021
Last week, the Biden administration withdrew Texas’s Medicaid waiver. This week, Republican Sen. John Cornyn responded in, well, unkind.
Pilot programs could steer Medicare Advantage business to home healthcare companies
By
Diane Eastabrook
Aug 04, 2021
As Medicare Advantage (MA) plans grow in popularity, home healthcare agencies need to start forming alliances with private payers that offer those plans.