Relias

OCTOBER 25, 2021

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare 97

Medicare Holistic Care Medicaid Communication 97

Capitol Beat

FEBRUARY 28, 2023

The COVID-19 Public Health Emergency (PHE) that was declared in March 2020 is set to end on May 11, 2023, as the President has announced there will be no more extensions to the PHE. Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. 42 CFR §482.12(c)(1)–(2)

APRN 101

APRN Medicaid Medicare Resume 101

Health Leaders | Nursing

SEPTEMBER 5, 2023

during that same time period, according to a 2020 study. of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. Medicare is about 46% and Medicaid is about 14%.

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

Nursing Review

JUNE 24, 2024

Professor May is only the third National Rural Health Commissioner appointed in Australia and takes over from Adjunct Professor Ruth Stewart who has held the position since July 2020. The federal government established the office in 2017 with the aim of supporting reforms such as the Stronger Rural Health Strategy.

Medicare 90

Medicare Education 90

Daily Nurse

MARCH 9, 2023

In November 2020, during the surge of COVID-19 in rural America, AANA joined several other healthcare organizations to bring equitable access to care in rural America and bridge the rural divide. CRNAs have practiced without this regulation for nearly three years under healthcare flexibilities issued during the public health emergency. .”

Medicaid 105

Medicaid Medicare Health Outcomes 105

Daily Nurse

APRIL 24, 2023

According to the Administration on Aging, in 2020, the population of 65 and older numbered 55.7 Centers for Medicare and Medicaid Services. One of the realities of life is that our medical needs increase as we age. And the number of older Americans is steadily growing. It is projected to grow to more than 80 million by 2040.

Malpractice 145

Malpractice Nurse Practitioner Long Term Care Medicaid 145

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern.

Telemedicine 73

Telemedicine Medicaid Medicare Licensing 73

Minority Nurse

OCTOBER 7, 2022

Okpala, 2020). Department of Health and Human Services, Centers for Medicare and Medicaid. 2020; 13(S1): 199–205. Stress, lack of sleep, poor nutrition, and lack of exercise can create cognitive changes that cause a lack of appreciation of risky decisions that direct care nurses can make. References. Published December 10, 2018.

Self-Care 105

Self-Care Promotion Medicaid Medicare 105

Consult QD

JANUARY 19, 2024

She and her colleagues analyzed locations of neurologist practices from the 2022 Care Compare database of the Centers for Medicare & Medicaid Services and locations of MS centers as defined by the Consortium of Multiple Sclerosis Centers. Their objective was to compute spatial access to these locations for all U.S.

Telemedicine 97

Telemedicine Medicaid Medicare 97

Symplr

APRIL 28, 2022

As hospital staff were stretched thin and supply chains were disrupted—and still are in many places—the Centers for Medicare & Medicaid Services (CMS) even temporarily suspended quality reporting requirements for Medicare quality programs in 2020. We provide six tips to succeed at a reset.

Medicare 52

Medicare Medicaid 52

American Nurse

JUNE 5, 2023

DME = durable medical equipment, OT = occupational therapy, PT = physical therapy Between November 1, 2020, to May 31, 2021, 1,788 patients were discharged from the unit (1,552 discharged home and 236 discharged to a facility). A noticeable decrease in discharge times occurred from November 1, 2020, to May 31, 2021. 2019;19(1):935.

Medicare 98

Medicare Patient Satisfaction Patient Experience Medicaid 98

Nurses Advocates

MAY 15, 2023

A Real Life Event Recently, I have been working with a man who sustained a spinal cord injury in 2020 while he lived in North Dakota. He was told to hang in there till he went on Medicare, that things would improve. Until I met Troy, I did not realize the life-long impact of a catastrophic injury has on people.

Medicaid 96

Medicaid Medicare Nurse Case Manager 96

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests. Increased Telehealth Services.

Medicare 52

Medicare Medicaid Federal healthcare Education 52

Council of Public Health Nursing Organizations

MARCH 8, 2024

Hospitals within a rural area with not more than 50 beds or that closed after December 27, 2020, can seek designation as a REH as long as they meet the conditions of participation to participate in Medicare and Medicaid programs. Centers for Medicare & Medicaid Services. December 27, 2020). Rural Emergency Hospitals.

Medicaid 52

Medicaid Medicare Emergency Care Promotion 52

Nurse.com

APRIL 14, 2022

To provide more complete care to seniors, the AANP supported the passage of the CARES Act in March 2020, which bolstered seniors’ access to home healthcare services, said Thomas.

Nurse Practitioner 98

Nurse Practitioner APRN Medicare Patient Satisfaction 98

American Nurse

JUNE 3, 2024

According to a 2020 study by Dietz and colleagues, over 5.4 3W3aHFM Centers for Medicare & Medicaid Services. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS. million adults in the United States (2.21%) have received a diagnosis of ASD. J Autism Dev Disord.

Communication 111

Communication Medicare Self-Care Mental Health 111

Relias

OCTOBER 7, 2021

Medicare and other payers also encourage home-based care when appropriate to keep the cost of care low compared with skilled nursing facilities and hospitals. Many older people naturally want to stay in their homes and close to their families for as long as possible. Financial Drain From Employee Churn. “For

Business 96

Business Medicare Home Healthcare Promotion 96

Consult QD

MAY 8, 2023

3 Who to enroll in a lung cancer screening program : Guidance from the United States Preventive Services Task Force (USPSTF) has contributed to policy from Centers for Medicare & Medicaid Services and other payors for who should be screened. 2020; 382:503-513 3. N Engl J Med. 2011; 365:395-409 2. N Engl J Med. 2021;4(4):e218559.

Best Practices 87

Best Practices Medicaid Medicare Communication 87

Healthcare Law Insights blog

AUGUST 15, 2023

Large managed care plans have been squarely in DOJ’s crosshairs for years, but a late July 2023 Justice Department settlement agreement with one regional healthcare provider’s Medicare Advantage Plan offers a glimpse into an issue health systems and providers with their own managed care plans need to track. million for her share. [3]

Medicare 52

Medicare 52

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests. Increased Telehealth Services.

Medicare 52

Medicare Medicaid Federal healthcare Education 52

Healthcare Law Insights blog

APRIL 25, 2022

Prior to the pandemic a Centers for Medicare and Medicaid pilot study yielded positive results with respect to hospital readmission rates and follow-up emergency department visits. What was previously a trickle of interest turned into a wave of necessity as the pandemic overwhelmed hospitals and the health care system in 2020.

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 52

American Nurse

OCTOBER 4, 2023

Based on evidence that proves early counseling and interventions help reduce modifiable cardiovascular risks associated with HTN, heart attack, and stroke, the Agency for Healthcare Research and Quality, along with Healthy People 2020, also strongly suggest consistent ambulatory cardiovascular risk screenings in adults with T2DM.

Health Literacy 98

Health Literacy Self-Care Education Medicaid 98

Relias

NOVEMBER 4, 2021

Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. In 2020, PDGM changed reimbursement by focusing more on patient characteristics.

Medicare 52

Medicare Business Medicaid Professional Development 52

American Nurse

DECEMBER 8, 2023

The Centers for Medicare & Medicaid Services won’t reimburse hospitals for the care of this condition and may apply a value-based penalty fee. Frequent turning, placing the patient on their side at 30 degrees using foam wedges, and applying skin barriers, such as foam dressings, can help prevent DTI.

Clinical Nurse Specialist 98

Clinical Nurse Specialist Medicaid Medicare Communication 98

Nurse.com

MAY 9, 2022

In 2018, the Children’s Hospital Association announced findings from the CARE ( Coordinating All Resources Effectively (CARE) Award, a three-year, $23 million Center for Medicare and Medicaid Innovation project. For the project, 10 children’s hospitals in the U.S. Learn About Nearby Opportunities.

Care coordination 105

Care coordination Medicaid Outpatient Clinic Medicare 105

Health Leaders | Nursing

MARCH 5, 2023

Care models had not wavered much since hospitals became medicalized in the early 20 th century, and particularly since the Centers for Medicare & Medicaid Services (CMS) were created in 1965, says Jason Gilbert, PhD MBA RN NEA-BC , executive vice president and chief nurse executive, Indiana University Health.

Retirement 116

Retirement Nurse Shortage Leadership Medicaid 116

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 act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Mandatory Telehealth Reporting.

Medicare 52

Medicare Medicaid 52

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 75

APRN Mental Health Psychiatry Nurse Practitioner 75

Healthcare Law Insights blog

MAY 17, 2023

One study of cosmetic surgery data found that body procedures like tummy tucks, buttock augmentation, and liposuction increased by 63 percent from 2020 to 2021. [1] 8] “United States Files Complaint Alleging Iowa Surgeon Caused Submission of False Claims to Medicare,” DOJ Press Release, May 15, 2023, available at [link]. [9]

Medicare 52

Medicare Medicaid 52

American Medical Compliance

DECEMBER 26, 2023

On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare.

Health Insurance 52

Health Insurance Medicaid Medicare 52

Relias

JANUARY 11, 2023

For example, less than 20% of Medicare spending is currently value-based. But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2020, the cumulative savings estimate had increased to $4.1

Medicare 52

Medicare Medicaid Patient Satisfaction Business 52

Nurse.com

JUNE 3, 2022

The Centers for Medicare & Medicaid Services (CMS) reports that home care expenditures are expected to reach $201B by 2028, a 73% increase from 2020. Rather than leaving the profession altogether, nurses should consider the benefits of home health care positions compared to working in the hospital environment.

Home Healthcare 59

Home Healthcare Medicaid Medicare Nursing Skills 59

Relias

OCTOBER 6, 2021

In 2020, our partners from ANCOR reported that average yearly turnover rates for DSPs had reached 42.8% Individual states determine provider rates and must include these rates in their state’s Medicaid Plan, which is ultimately reviewed by the Centers for Medicaid and Medicare Services (CMS).

Medicaid 105

Medicaid Leadership Health Insurance Medicare 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. The more education a patient and his support system receive, the better the patient’s outcome. Karmarkar, A.,

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Consult QD

OCTOBER 24, 2023

Study design The study was conducted as a prospective open-label investigation at 34 North American sites from late 2017 to late 2020. We are reaching out to the Centers for Medicare & Medicaid Services (CMS) to encourage reimbursement of the combined procedures,” Dr. Kapadia says. months of dual antiplatelet therapy.

Medicaid 97

Medicaid Medicare 97

American Nurse

OCTOBER 2, 2023

2020: COVID-19 skin manifestations The National Pressure Injury Advisory Panel (NPIAP) advises wound care providers to consider whether purpuric skin changes are forms of deep tissue injury or skin failure. We must advocate for policies consistent with evidence-based care as well as adequate reimbursements and coding. An NPIAP White Paper.

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

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. million decrease.

Medicare 52

Medicare Self-Care Medicaid Education 52