Relias

FEBRUARY 2, 2023

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A.

Medicare 52

Medicare Medicaid Business 52

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Editor’s Note: This post was originally published in July 2019 and has been updated.

Education 98

Education Communication Long Term Care Medicaid 98

Amercan Journal of Nursing

AUGUST 19, 2024

Some current examples of issues that nurse advocates are working on through federal legislative change are workplace violence, mandatory overtime, faculty shortages, workforce development, and modernizing Centers for Medicare and Medicaid Services payment systems for nursing care.

APRN 74

APRN Mental Health Psychiatry Nurse Practitioner 74

American Nurse

OCTOBER 4, 2023

In 2019, a cross-sectional study comparing the American College of Cardiology/American Heart Association (ACC/AHA) atherosclerotic cardiovascular disease (ASCVD) risk calculator tool and the United Kingdom Prospective Diabetes Study Risk engine tools aimed to understand which was most appropriate for adult patients with type 2 diabetes (T2DM).

Health Literacy 98

Health Literacy Self-Care Education Medicaid 98

Consult QD

JULY 18, 2023

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3).

Medicare 91

Medicare Medicaid Business Emergency Care 91

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The baseline year for home health agencies with a Medicare certification date prior to January 1, 2019, would change from 2019 to 2022. Adjusting PDGM Calculations Based on Data.

Medicare 52

Medicare Medicaid 52

American Nurse

DECEMBER 8, 2023

How the project works UNTHSC became an ECHO Hub site in 2019 with the creation of a Geriatrics ECHO line targeting rural primary care practices caring for older adults. Quantifying project impact Between September 2019 and September 2022, the two UNTHSC ECHO lines offer­ed 159 sessions.

Long Term Care 87

Long Term Care Leadership Nurse Practitioner Medicaid 87

American Nurse

JUNE 3, 2024

3W3aHFM Centers for Medicare & Medicaid Services. Authored: September 20, 2017; retrieved: June 23, 2019. J Autism Dev Disord. 2017;47(5):1510-29. doi:10.1007/s10803-017-3040-5 Center for Autism Related Disabilities. University of South Florida. HCAHPS: Patients’ perspectives of care survey. Psychiatr Serv. 2017;68(7):735-8.

Communication 111

Communication Medicare Self-Care Mental Health 111

American Nurse

JULY 2, 2024

She attended an ACNA conference in 2019 and began collaborating with experts like past ACNA presidents Carey S. Yes, it affirms that cannabis has medicinal value, but it doesn’t make it more affordable for Medicaid patients, for instance.” Clark, PhD, RN, AHN-BC, FAAN, and Llewellyn Dawn Smith, MSN, RN-BC.

Education 105

Education Business Self-Care Nurse Practitioner 105

American Nurse

FEBRUARY 16, 2024

In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP). Prescription Opiates [link] Centers for Medicare and Medicaid Services (n.d) [link] Li, C. Education can be formal or informal, depending on the complexity of the patient’s needs. Karmarkar, A.,

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

American Nurse

SEPTEMBER 5, 2024

However, the infant mortality rate in the white, non-Hispanic population has improved at a faster rate than in other racial and ethnic populations which has actually increased some disparities (Singh & Yu, 2019). According to the National Center for Health Statistics from 2019 to 2021 the infant mortality rates in Kansas were 5.2

Mental Health 52

Mental Health Medicaid Health Outcomes Education 52

Relias

NOVEMBER 9, 2023

In 2019, the U.S. of citizens identifying as American Indian or Alaska Native relied on Medicaid or other public health insurance, and 14.9% on Medicaid or public health insurance and only 6.3% Department of Health and Human Services Office of Minority Health (OMH) reported that 42.1% had no coverage at all. with 34.3%

Health Insurance 59

Health Insurance Medicaid Mental Health Promotion 59

Diversity Nursing

DECEMBER 4, 2024

Between 2007 and 2019, studies examining regional and racial/ethnic variations in amputations revealed significant disparities. Mortality rates reach 50% within two years following a lower extremity amputation. Black and Hispanic patients experienced a 50% higher rate of disease compared to White patients.

Medicare 40

Medicare Outpatient Clinic Holistic Care Long Term Care 40

Empowered Nurses

APRIL 27, 2023

In the Radonda Vaught case, which I have reported on in other blogs, someone filed an anonymous complaint through the Centers for Medicare and Medicaid Services which brought her situation to light. It’s unfortunate that with corporate health care, it seems that facilities are putting profits over patients. for his services.

Medicaid 52

Medicaid Medicare Licensing 52

Empowered Nurses

APRIL 27, 2023

In the Radonda Vaught case, which I have reported on in other blogs, someone filed an anonymous complaint through the Centers for Medicare and Medicaid Services which brought her situation to light. It’s unfortunate that with corporate health care, it seems that facilities are putting profits over patients. for his services.

Medicaid 52

Medicaid Medicare Licensing 52

American Nurse

JULY 5, 2023

The Centers for Medicare and Medicaid Services (CMS) provides federal oversight of care quality in all U.S. hospitals that receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

American Nurse

SEPTEMBER 11, 2024

At that time, nurses would talk with patients over the phone to discuss home care for illnesses, manage medication refills, and discuss lab results (Mataxen & Webb, 2019). Patients and caregivers have reported feeling a sense of support and reassurance after receiving telephone advice from a triage nurse (Mataxen & Webb, 2019).

Medicaid 52

Medicaid Medicare Retirement Nurse Shortage 52

Consult QD

DECEMBER 29, 2023

The study included 48 Black patients and 232 white patients seen in Cleveland Clinic’s Renal Genetics Clinic between January 2019 and March 2022. “Genetic testing is increasingly accessible to patients with kidney diseases while racial disparities in renal genetics evaluations have not been investigated.” In this cohort, 56.3% vs. 6.7%).

Medicaid 52

Medicaid Education 52

Relias

MARCH 1, 2023

Jenn Leitch, MN, RN, CCM, CGS, who served as a nurse manager in the department of care management at Oregon Health & Science University, told Relias Media that the hospital “saved 2,382 hospital days over the fiscal year of July 2019 to June 2020 because we transitioned these patients to skilled nursing facilities sooner.”

Medicare 52

Medicare Medicaid Patient Satisfaction Long Term Care 52

American Nurse

JUNE 13, 2024

The Professional Values Model (PVM) was developed by Kaya and Boz (2019) to improve nursing practices based on values. Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. Describe individual and professional values of nurses, and to help get to know themselves. “The

Health Outcomes 52

Health Outcomes Medicaid Medicare Nurse Educator 52

Relias

APRIL 18, 2022

For home health agencies, wounds are one of 12 clinical groupings the Centers for Medicare and Medicaid Services (CMS) identifies under the Patient-Driven Groupings Model. In home health, clinicians filed 6 million wound care claims in 2019. Therefore, this score affects the PDPM reimbursement calculation.

Education 52

Education Medicare Promotion Medicaid 52

Consult QD

MAY 11, 2023

Additionally, hospitals are not reimbursed by the Centers for Medicare & Medicaid Services for costs associated with sternal wound infections, so these infections can have a negative financial impact. January 2019. DSWIs: Uncommon but impactful A DSWI is a devastating complication of cardiac surgery for the patient.

Medicaid 52

Medicaid Medicare Promotion Best Practices 52

Relias

SEPTEMBER 1, 2022

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states.

Medicare 52

Medicare Self-Care Medicaid Education 52

American Nurse

OCTOBER 2, 2023

In terms of regulation and reimbursement , regulators and payors, such as the Centers for Medicare and Medicaid Services, still penalize acute care facilities for hospital-acquired pressure injuries. We must advocate for policies consistent with evidence-based care as well as adequate reimbursements and coding.

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

Relias

JANUARY 8, 2024

The relationship between patient satisfaction scores, reimbursement, and health outcomes The Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring helps hospitals and governing bodies evaluate patient satisfaction through quantitative measurements. In 2019, $1.9

Patient Satisfaction 52

Patient Satisfaction Medicare Patient Experience Professional Development 52

Relias

MARCH 13, 2023

An executive order passed in 2019 directed the Department of Health and Human Services to create new guidelines to help reduce healthcare costs. As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021.

Medicare 52

Medicare Medicaid Self-Care Best Practices 52

Consult QD

JUNE 16, 2023

Many laboratories have alternative options for low-cost or no-cost testing that do not involve a third-party sponsor and have financial assistance programs (based on a sliding income-based scale) and laboratory billing policies (such as no balance-billing for those with Medicaid). BMC Med Ethics 2019; 20(1):71. Feero WG, Wicklund CA.

Pharmaceutical 52

Pharmaceutical Medicaid Patient Advocacy Self-Care 52

Relias

AUGUST 9, 2023

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. Editor’s Note: This post was originally published in three-part blog series in December 2019 and has been updated with new content.

Best Practices 52

Best Practices Education Medicaid Medicare 52

American Nurse

MAY 1, 2023

I’ve encountered many elders who can’t afford good healthcare but earn just above the Medicaid guideline, leaving them ineligible for assistance. Percentage of angina for adults aged 18 and over, United States, 2019–2021. January 14, 2019. September 18, 2019. The Indigenous Foundation. Diabetes still highest among AI/AN.

Long Term Care 98

Long Term Care Chief Nursing Officer Self-Care Senior Living 98

American Nurse

JUNE 7, 2023

In July 1965, President Lyndon Johnson signed into law legislation to establish the Medicare and Medicaid programs about 20 years after President Harry Truman unsuccessfully tried to enact some form of national health insurance. cdc.gov/nchs/data/hus/2019/044-508.pdf Infant mortality rates by race and ethnicity, 2019.

Medicare 116

Medicare Health Insurance Promotion Nurse Practitioner 116

American Nurse

MARCH 6, 2024

doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. Silver Spring, MD: American Nurses Association ; 2021. Backhouse A, Ogunlayi F. Quality improvement into practice. 2020;368:m865.doi:10.1136/bmj.m865 Certified EHR technology. September 6, 2023. 2021;46(1):151-92. NCHS Data Brief, no 347. cdc.gov/nchs/products/databriefs/db347.htm

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

Relias

AUGUST 29, 2022

In 2019, the American College of Obstetricians and Gynecologists (ACOG) issued a joint statement with Physicians for Reproductive Health, stating, “There are situations where pregnancy termination in the form of an abortion is the only medical intervention that can preserve a patient’s health or save their life.

Medicaid 84

Medicaid Education 84

Relias

JANUARY 16, 2023

Department and Human Services found that Medicare visits conducted through telehealth in 2020 increased 63-fold, from about 840,000 in 2019 to 52.7 The Centers for Medicare and Medicaid Services (CMS) will expand its enforcement actions against poorly-performing facilities. Penalties rise to $1M.

Medicare 52

Medicare Medicaid Telemedicine Nursing Burnout 52

American Nurse

DECEMBER 8, 2023

According to Weiner-Lastinger, compared with 2019 data (0.69 The Centers for Medicare & Medicaid Services doesn’t reimburse costs associated with healthcare-associated CAUTI, so prevention has financial implications. In the United States, the number of CAUTIs decreased by 25% from 2015 to early 2020. Am Fam Physician.

Best Practices 82

Best Practices Self-Care Long Term Care Medicaid 82

Scrubs

OCTOBER 14, 2024

billion worth of fraudulent claims to Medicare and Medicaid. He was convicted and sentenced to 20 years in prison in 2019. Esformes owned more than 30 Miami-area nursing homes and assisted-living centers in 2016, when he was charged in connection with a two-decade scheme that involved an estimated $1.3

Medicare 52

Medicare Medicaid 52

Scrubs

JULY 16, 2024

The mostly for-profit nursing home industry argues that staffing problems stem from low rates of reimbursement by Medicaid, the program funded by states and the federal government that covers most people in nursing homes. She left her job at a nursing home that paid $18.50 It comes down to political will to enforce staffing.”

Medicaid 104

Medicaid Long Term Care Medicare Retirement 104

American Nurse

JULY 29, 2024

The mostly for-profit nursing home industry argues that staffing problems stem from low rates of reimbursement by Medicaid, the program funded by states and the federal government that covers most people in nursing homes. She left her job at a nursing home that paid $18.50 They have asked for much of the lawsuit to be dismissed.

Medicaid 104

Medicaid Long Term Care Medicare Retirement 104