CMS has indefinitely suspended federally funded nursing home ownership reporting due to PECOS system issues, delaying the revalidation deadline and advising ongoing data collection. Key updates on regulatory compliance for Medicare and Medicaid providers.
A recent OIG audit identifies $4.7 million in Medicare overpayments to optometrists for nursing home services due to insufficient CMS review processes and billing controls. The report urges enhanced oversight and provider training to prevent future improper payments.
Explore the challenges faced by ventilator-dependent patients in the U.S., including nursing home shortages, insurance coverage barriers, and innovative care models amid Medicaid funding pressures.
OIG finds nursing homes underreporting major injury falls affecting accuracy of CMS Care Compare data; CMS to enhance compliance and reporting measures.
Medicare covers short-term skilled nursing care but excludes long-term custodial care in nursing homes. Insurance professionals must understand coverage nuances, eligibility, and alternative financing options including Medicaid and long-term care insurance.
Explore Medicaid's role in funding nursing home care, eligibility requirements, risks of coverage loss, and financial pressures facing providers and states amid a rising senior population.
