Immediate Jeopardy Finding Fails Due To Lack Of Fact-Finding Specific Analysis

A Department Appeals Board (DAB) order upholding the finding of an immediate jeopardy level violation and the imposition of $3,500 per day civil money penalty (CMP) against a skilled nursing facility (SNF) was vacated by the Eighth Circuit Court of Appeals because the DAB's finding was based on pure

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Inappropriate Part D Payments for Part A SNF Beneficiaries

The OIG recently released a report entitled "Medicare Part D Payments For Beneficiaries In Part A Skilled Nursing Facility Stays In 2006."  The purpose of the review was to determine the extent to which Medicare Part D paid for drugs for beneficiaries in Part A SNF stays in 2006.  The OIG found that Part D payments were widespread among SNFs and ph

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