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

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 million have Medicare, Parts A and B, and 75.8 March 2023.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

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

Relias

MARCH 1, 2023

One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network. She encouraged hospital providers to increase the amount to 80%-90%. Avoid rehospitalization The key to keeping 30-day readmission rates low is preventing avoidable hospitalizations.

Medicare 52

Medicare Medicaid Patient Satisfaction Long Term Care 52

Relias

APRIL 18, 2022

Medicare payment models in skilled nursing and home health provide incentives for clinicians to be well versed in specialty areas such as skin and wound care. Chronic wounds affect about 15% of Medicare beneficiaries each year. In home health, clinicians filed 6 million wound care claims in 2019.

Education 52

Education Medicare Promotion Medicaid 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 Communication 52

Relias

JANUARY 8, 2024

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. In 2019, $1.9

Patient Satisfaction 52

Patient Satisfaction Medicare Patient Experience Professional Development 52

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. 2019;16(5):e1002798.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

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

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

Daily Nurse

JULY 18, 2023

Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia examines data from a large, geographically diverse sample of patients enrolled in Medicare Advantage (MA) plans. which covers the period from 2016 to 2019. ADRD and comorbid conditions were identified from claims.

Medicare 98

Medicare Medicaid 98

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

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

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

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

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

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

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. A brief history of Medicare in America. cdc.gov/nchs/data/hus/2019/044-508.pdf March 15, 2019.

Medicare 116

Medicare Health Insurance Promotion Nurse Practitioner 116

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

Relias

JANUARY 16, 2023

This estimate is based on a survey of physicians who primarily serve Medicare fee-for-service and Medicare Advantage patients and represents up to a fourfold increase in the cost of care delivered at home today. The report also found trends in the kinds of services Medicare beneficiaries receive via telehealth.

Medicare 52

Medicare Medicaid Telemedicine Nursing Burnout 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

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.

Outpatient Clinic 40

Outpatient Clinic Medicare Holistic Care Long Term Care 40

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

The Relentless School Nurse

FEBRUARY 15, 2025

These orders include the rollback of policies aimed at limiting drug spending by Medicaid and Medicare, the withdrawal from the World Health Organization, and the revocation of measures designed to respond to pandemics like COVID-19. Portland Tribune Opinion: Fellow Americans, did we sign up for this? Teri Mills and Donna A.

Medicaid 65

Medicaid Medicare Retirement Mental Health 65

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

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