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Smoke and Mirrors: ECBH Increasing Medicaid Rates (But Decreasing the Amount...
I am always amazed at magicians. David Copperfield, David Blaine… I once saw David Copperfield live. I was convinced prior to the show that I would be able to determine how he performed the...
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Attention Medicaid Providers: Potential SPA Decreases PCS Rates By 60 Cents...
The North Carolina State Medicaid Plan (State Plan) is constantly revised. The result of its constant revisions make for an 1800+ page, jumbled mess of plans, rules, amendments, and effective dates...
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Hello, 2014! And Hello 3% Decrease in Medicaid Reimbursements (But Call the...
Tomorrow is the first Medicaid checkwrite for 2014 (and its my birthday too). Happy New Year! Happy birthday!! (I’m turning 29 for the 10th year). For New Years, my husband and I had a very quiet...
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NC Medicaid: To Revise or Not to Revise, That Is the Question!
We think too much; thus we fail to act. That’s what Hamlet was saying during his “To be or not to be” soliloquy, right? To live or not to live? Should you bear the painful burden of life or to...
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Personal Care Services: Will the Fear of the “F” Word (Medicaid Fraud) Cause...
In my career, I call it the “F” word: Fraud. Its existence and fear of existence drives Medicare and Medicaid policies. It is without question that Medicare and Medicaid fraud needs to be eliminated....
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CCME’s Medicaid Audit Bloopers: Ring Around the Rosie, We All Fall Down
“Ring Around the Rosie.” What a fantastic children’s rhyme; it brings back nostalgic memories of my daughter being young. We would sing “Ring Around the Rosie,” while holding hands and running in a...
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Medicaid, Medicare, Nursing Facilities, and Death and Taxes: Our Uncertain...
There are few “knowns” in life. In 1789, Benjamin franklin penned a correspondence to Jean-Baptiste Leroy, in which he wrote, “Our new Constitution is now established, and has an appearance that...
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“The Times They Are a-Changin’”: A Look at Possible Ramifications on Medicaid...
I think of Bob Dylan’s raspy voice singing: Then you better start swimmin’ Or you’ll sink like a stone For the times they are a-changin’. In 1933, Franklin D. Roosevelt took the presidency during a...
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NC Medicaid: Ready or Not, the Onsite Reviews Have Started; Are You Ready?
Planning for the inevitable is smart. And it is inevitable if you are a provider and you accept Medicaid that you will undergo some sort of review, whether it is onsite or database checks, in the near...
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Compelling Personal Care Workers to Pay Union Dues Violates Our Freedom of...
I live in a community that requires homeowner association monthly dues. We have a homeowner association (HOA). More than once I have complained at the high cost of these monthly dues and the absurd...
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The (Recent) History of PCS Rates and Why There Is Parity of Rates Between...
Think of this blog as a history lesson… As I was preparing my Power Point for speaking at the NC Association of Long Term Care Facilities (NCALTCF), I ran across a number of interesting issues on which...
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Another Win for the Good Guys! Williams Mullen Succeeds in Overturning Yet...
Getting placed on prepayment review is normally a death sentence for most health care providers. However, our health care team here at Williams Mullen has been successful at overturning the...
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Williams Mullen Hosts “The State of the State of Health Care” Panel Discussion
Williams Mullen is hosting a free panel discussion on “The State of the State of Health Care.” Please see below! The panelists will be Rep. Nelson Dollar, Steven Keene, General Counsel to the NC...
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PCS Medicaid Reimbursement Rates Are TOO LOW to Maintain Adequate Quality of...
I recently spoke at the Association for Hospice and Home Care (AHHC) and the NC Association for Long Term Care Facilities (NCLTCF) conferences. At issue at both conferences was the reimbursement rate...
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A New Year and We Will “Ring In” Even Lower PCS Reimbursement Rates: Time for...
Merry Christmas, everyone!!! And Happy New Year!! I hope everyone had a wonderful holiday! Personally, Christmas was wonderful for my family. I actually took some days off. And our 9-year-old girl...
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Low Medicaid Reimbursement Rates Violate the Supremacy Clause?! …The Supreme...
Tomorrow is a big day. Not only will most of us return to work after a long weekend, but the Supreme Court will hear oral arguments on a very important issue. On January 20, 2015, (tomorrow) the...
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Consider Nominating This Blog for the 2015 Best Legal Blog Contest (Please)!
The 2015 Legal Blog Contest is here! For all you that follow this blog, thank you! I hope that you agree that I provide you with valuable and up-to-date information on Medicaid/care regulatory issues....
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Another Win for the Good Guys! Gordon & Rees Succeeds in Overturning Yet...
Getting placed on prepayment review is normally a death sentence for most health care providers. However, our health care team here at Gordon Rees has been successful at overturning the consequences of...
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Consider Nominating This Blog for the 2015 Best Legal Blog Contest (Please)!
The 2015 Legal Blog Contest is here! For all you that follow this blog, thank you! I hope that you agree that I provide you with valuable and up-to-date information on Medicaid/care regulatory issues....
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