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. A survey in September 2021 showed that patients who received ACHAH care were highly satisfied (88%) and were likely to recommend it to friends and family (85%).

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 52

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

Healthcare Law Insights blog

MARCH 25, 2022

The Emergency Temporary Standard (ETS) for Occupational Exposure to COVID-19 for healthcare and healthcare support service workers (OSHA Healthcare ETS) was originally published on June 21, 2021. Potential changes in the OSHA Healthcare ETS. OSHA is not considering mandating vaccines for employees.

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Medicaid Medicare Business 52

Healthcare Law Insights blog

JANUARY 9, 2025

Dr. Perwaiz sidestepped Medicaids 30-day waiting period for elective sterilization by backdating forms. Dr. Perwaiz was sentenced in May 2021. Chesapeake Regional then billed Medicaid and other healthcare programs. Javaid Perwaiz was indicted and convicted following trial in federal court of healthcare fraud.

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Medicaid Federal healthcare 52

Capitol Beat

NOVEMBER 4, 2022

The ICAN Act would remove unnecessary and outdated barriers to providing care for APRNs across the country so they can better care for their patients who are enrolled in Medicare and Medicaid programs. Nurse Advocates stand with Rep. Lucille Roybal-Allard to announce the ICAN Act in September.

APRN 52

APRN Medicaid Medicare Mental Health 52

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).

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Medicare Medicaid Business Emergency Care 91

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 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

American Nurse

JUNE 3, 2024

3W3aHFM Centers for Medicare & Medicaid Services. Indianapolis, IN: Sigma Theta Tau International; 2021. 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. J Autism Dev Disord.

Communication 111

Communication Medicare Self-Care Mental Health 111

American Nurse

JULY 2, 2024

Research roadblocks In a 2021 position statement, ANA declared its support for the review and reclassification of marijuana’s status from a federal Schedule I controlled substance to facilitate urgently needed clinical research that informs patients and providers on the efficacy of mariju-ana and related cannabinoids.

Business 105

Business Education Nurse Practitioner Self-Care 105

Relias

JANUARY 11, 2023

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 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare 52

Medicare Medicaid Patient Satisfaction Business 52

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] billion on aesthetic procedures in 2021 with surgical revenues increasing by 63 percent. [4] 12, 2021, available at [link]. 1] Facelifts were up 54 percent. [2]

Medicare 52

Medicare Medicaid 52

American Nurse

MARCH 6, 2024

Silver Spring, MD: American Nurses Association ; 2021. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. 2021; 16(5):e0252151. August 24, 2021. Br J Clin Pharmacol. 2020; 86(1):29-38. doi:10.1111/bcp.14164 14164 American Nurses Association. Nursing: Scope and Standards of Practice. Backhouse A, Ogunlayi F.

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Telemedicine Health Insurance Health Literacy Promotion 98

Health Leaders | Nursing

OCTOBER 16, 2024

He joined the health system in 2021 as executive vice president for physician enterprise, where he oversaw physician and advanced practice provider employment and alignment models with accountability for advancing clinical integration and population health management. We are also one of the largest Medicaid providers," McGinn says. "We

Patient Satisfaction 64

Patient Satisfaction Medicaid Bedside nursing Nurse Shortage 64

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% CMS uses 2021 data to recalibrate case-mix weights, including functional levels, comorbidity adjustment subgroups, and LUPA thresholds. Cap on Negative Wage Index. Mandatory Telehealth Reporting.

Medicare 52

Medicare Medicaid 52

American Nurse

DECEMBER 8, 2023

The Geriatrics ECHO data consist of information from September 2019 to May 2022; the Nursing Home STRONG ECHO, from November 2020 to September 2022 (which includes Agency for Healthcare Research and Quality [AHRQ] COVID-19 Action Network ECHO sessions held from November 2020 to August 2021). 2021 profile of older Americans.

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Long Term Care Leadership Nurse Practitioner Medicaid 87

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

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 Communication 52

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Most states’ retrieval rates of the 2021 home health agencies PEPPER stood at 40% to 59%. We all love free tools that help our organizations perform better.

Medicare 52

Medicare Medicaid Self-Care Education 52

Minority Nurse

MARCH 19, 2024

The United States Government Accountability Office reported a 15-fold increase over the prepandemic level in telehealth use among Medicaid beneficiaries. million from March 2020 to February 2021. Numbers skyrocketed from 2.1 million in the year before the pandemic to 32.5 Teresa Rincon, PhD, RN, FCCM, is a pioneer in virtual nursing.

Chief Nursing Officer 59

Chief Nursing Officer Bedside nursing Clinical Nurse Specialist Telemedicine 59

Relias

OCTOBER 20, 2021

In our 2021 State of Healthcare Training and Development Report , 33%?of Several factors drove these concerns, such as licensing, Medicare/Medicaid?reimbursement, Medicaid beneficiaries use telehealth services. SoonerCare Medicaid program. amount of telehealth adoption prior to the COVID-19 pandemic,?some some providers?were?weary

Medicaid 52

Medicaid Business Best Practices Medicare 52

Celayix

FEBRUARY 7, 2023

billion in health care fraud settlements and judgments in 2021. There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid. Fraud is unfortunately, very common in home healthcare. In fact, the federal government saw a return of nearly $1.9 There is of course, the patient.

Home Healthcare 52

Home Healthcare Medicaid Business Medicare 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. Editor’s note: This post was originally published in January 2021 and updated. Therefore, this score affects the PDPM reimbursement calculation.

Education 52

Education Medicare Promotion Medicaid 52

Relias

DECEMBER 13, 2021

The increased pressure of the COVID-19 pandemic has presented never-before-seen growth opportunities for home health agencies and their workforce, as Bill Dombi, President of the National Association of Home Care and Hospice (NAHC), noted in a December 2021 webinar titled The State of Home Health.

Professional Development 52

Professional Development Medicaid Health Insurance Medicare 52

Relias

JUNE 1, 2022

Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Many providers were noncompliant with 2021 E/M coding documentation guidelines.

Retirement 52

Retirement Outpatient Clinic Legal Issues Medicaid 52

Relias

JUNE 1, 2022

Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Many providers were noncompliant with 2021 E/M coding documentation guidelines.

Retirement 52

Retirement Outpatient Clinic Legal Issues Medicaid 52

Capitol Beat

MARCH 15, 2022

Nursing Title VIII Nursing Workforce Development programs received $280.472 million, which is a $16 million increase over Fiscal Year 2021. The bill, which also includes Ukraine emergency spending attached, was signed into law on March 15, 2022. Agencies Health and Human Services : $108.3 billion in total spending, an increase of $11.3

Medicare 40

Medicare Mental Health APRN Telemedicine 40

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). Front Neurol 2021; 12:663911. Suther S, Kiros G-E.

Pharmaceutical 52

Pharmaceutical Medicaid Patient Advocacy Self-Care 52

University of St. Augustine for Health Sciences

DECEMBER 15, 2023

1 Individuals covered by Medicaid (28.3%) and Medicare (26.8%), those who are Black (26.1%) and those earning less than $25,000 (26.4%) have the highest rates of telehealth visits. 1 83% of patients who had a telemedicine visit in the previous year said they want to continue or increase their use of telemedicine in the future.

Telemedicine 52

Telemedicine Communication Medicaid Medicare 52

American Nurse

APRIL 2, 2024

Influential efforts such as the 2021 National Academy of Medicine report, Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, and the Department of Health and Human Services Healthy People 2030 initiative prioritized SDOH. The COVID-19 pandemic laid bare the effects of social determinants of health (SDOH).

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

American Nurse

SEPTEMBER 5, 2024

According to Chaffee (2021), the evidence connects cannabis use to poor oral health. Missouri skilled nursing facility residents (N=253) reported that 49% of residents rely on staff to clean their mouth, many have no Medicare dental coverage, and Medicaid covers a limited number of dental services (The Oral Health of Adults, 2022).

Medicare 52

Medicare Self-Care Promotion Communication 52

Health Leaders | Nursing

SEPTEMBER 5, 2023

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%. Nearly 90% of NPs are certified in an area of primary care and 70.3%

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

American Nurse

SEPTEMBER 27, 2023

Despite the evils of the pandemic, one important change was the expansion of private insurance reimbursement for telehealth services as well as Medicare and Medicaid expansion to reduce previously prohibitive barriers of telehealth services. References Centers for Medicare & Medicaid Services. March 17, 2020. link] Zemlak, J.

Medicare 116

Medicare Telemedicine Medicaid Communication 116

Consult QD

APRIL 6, 2023

To conduct their study, the team surveyed 500 transplant clinicians (physicians, surgeons, and allied health and nursing professionals) between June and August 2021. Here are their findings in summary: Those in distressed communities were more likely to be Black and Hispanic, listed as Status 1A and have Medicaid insurance.

Medicaid 112

Medicaid Promotion Education 112

Scrubs

JUNE 22, 2023

According to a 2021 analysis of federal data, Black women living in rural areas also are more likely to die or experience more severe health complications during delivery than white women living in rural areas. In all cases, the majority were Medicaid enrollees. Sanford won the grant in 2021. Taylor said.

Medicaid 69

Medicaid Education 69

Scrubs

JUNE 16, 2023

In fall 2021, staffers at Johnson Memorial Health were hoping they could finally catch their breath. One study found that cyberattacks on the nation’s health care facilities more than doubled from 2016 to 2021 — from 43 attacks to 91. But on Oct. 1 at 3 a.m., a Friday, the hospital CEO’s phone rang with an urgent call. “My

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Military Medicaid Resume Medicare 74

American Nurse

FEBRUARY 22, 2024

Primarily a rural state, Missouri has ten rural counties with the highest rates of maternal morbidity (Missouri Department of Health and Senior Services, 2021; The Missouri Pregnancy-Associated Mortality Review, 2018). The second federal policy is Medicaid Postpartum Coverage Extension (passed in Missouri 7/2023). June 2021).

Medicaid 52

Medicaid Mental Health Health Insurance Promotion 52