Category: Medicare

Center for Medicare Advocacy Opposes Confirmation of RFK Jr.

February 3, 2025 The Center for Medicare Advocacy (CMA) urges senators to vote against the confirmation of Robert F. Kennedy Jr. to serve as the Secretary of the Department of Health and Human Services. After two hearings, it is clear that Mr. Kennedy lacks the knowledge and preparation to be tasked with steering our nation’s

Overbilling Neglect

A researcher from the University of Texas found a pattern of poor health outcomes in skilled nursing facilities that fraudulently overbilled Medicare. The paper, “Overbilling and Killing? An Examination of the Skilled Nursing Industry,” revealed how patients at fraudulent Skilled Nursing Facilities suffered worse health outcomes because those facilities sought to increase revenue rather than

GAO on Hospice

On December 12, 2022, the US Government Accountability Office issued a report that recommended that the Center for Medicare and Medicaid Services (CMS) expand all hospice abuse and neglect report requirements. These requirements will be reflected more in nursing homes and hospital reports. All hospice care providers will report all instances of suspected abuse and

Patient-Driven Payment Model’s Non-Therapy Ancillary

This past spring, CMS proposed removing some conditions from the Patient-Driven Payment Model’s Non-Therapy Ancillary category. McKnight’s reported that nursing homes receive an NTA add-on for those with patients coded for a specific diagnosis. Patients who are at risk for both Malnutrition and are at risk get one point toward increased pay of the PDPM.

Spending and Labor

McKnight’s had an article on spending in nursing homes. Nursing home care and home health care were two of the fastest-growing fields of healthcare spending in 2023 according to Altarum’s monthly Health Sector Economic Indicators brief.  Data shows that overall national health spending increased by 6.2% for the entire year, gross domestic product increased by

Telehealth Fraud

McKnights reported the US Department of Health and Human Services Office of Inspector General has been investigating Supportive Care Holdings LLC and its CEO, Joseph Newmark, for alleged billing misconduct between 2019 and 2023. This company offered mental telehealth services to skilled nursing facility residents. Telehealth services have recently become very popular for seniors and

$15 Million Awarded in Highway Collision

$42 Million Given Back for over 8,000 Investors

$1.05 Million Largest Nursing Home Jury Award in Spartanburg History

$2.32 Million in “Unprecedented” Jury Award Against Nuisance Landfill

$2.32 Million in “Unprecedented” Jury Award Against Nuisance Landfill

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