American Nurse

JULY 18, 2024

According to the Center for Medicare Advocacy and Lu and Lu, ownership and sponsorship type have been shown to significantly impact the quality of care in nursing homes, with for-profits generally having lower staffing levels and poorer patient outcomes. It saves money for Medicare and Medicaid, and it’s exactly what the people want.

Business 98

Business Medicare Medicaid 98

Consult QD

MAY 16, 2023

A new policy from the Centers for Medicare & Medicaid Services (CMS) vastly expands coverage for continuous glucose monitoring (CGM), putting better type 2 diabetes management within reach for millions more patients. 2021; 325 (22):2262-2272) Previously, CGM was covered only for those who required mealtime insulin.

Medicaid 88

Medicaid Medicare Education 88

Minority Nurse

JANUARY 27, 2023

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

Nurse Practitioner 103

Nurse Practitioner APRN Medicaid Medicare 103

Minority Nurse

NOVEMBER 18, 2022

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

Nurse Practitioner 98

Nurse Practitioner APRN Medicaid Medicare 98

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. December 1, 2021.

Medicare 98

Medicare Patient Satisfaction Patient Experience 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

Council of Public Health Nursing Organizations

MARCH 8, 2024

To increase access to healthcare in rural areas and to respond to the hospital closures, in 2021 congress passed the Consolidated Appropriations Act ( Public Law 116-260 ). Centers for Medicare & Medicaid Services. Rural Hospital Closures. Retrieved March 6, 2024. link] NC Rural Health Research Program. Government.

Medicaid 52

Medicaid Medicare Emergency Care Promotion 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. The final rule includes a 4.1% net inflation rate update.

Medicare 52

Medicare Medicaid Business 52

American Nurse

JUNE 3, 2024

3W3aHFM Centers for Medicare & Medicaid Services. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS. Indianapolis, IN: Sigma Theta Tau International; 2021. J Autism Dev Disord. 2017;47(5):1510-29. University of South Florida. J Autism Dev Disord.

Communication 111

Communication Medicare Self-Care Mental Health 111

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. The Acute Care Hospital at Home model (ACHAH) provides traditional hospital inpatient acute-level services at home.

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 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. Here’s what you need to know about value-based payments.

Medicare 52

Medicare Medicaid Patient Satisfaction Business 52

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. Cap on Negative Wage Index.

Medicare 52

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

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

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf Silver Spring, MD: American Nurses Association ; 2021. October 31, 2022.

Self-Care 59

Self-Care Medicaid Medicare Nurse Practitioner 59

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

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]. 12, 2021, available at [link].

Medicare 52

Medicare Medicaid 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.

Medicaid 52

Medicaid Medicare Business 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). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

Medicare 52

Medicare Medicaid Self-Care Education 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

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

Military 74

Military Medicaid Resume Medicare 74

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

2021: NPIAP conference In the fall of 2021, NPIAP convened a conference to discuss skin failure related to end of life, focusing on consensus around terminology and drawing attention to how little scientific research exists regarding the condition. December 17, 2021. mg/dL (P =.07), 07), impaired blood flow (P =.05),

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

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. Editor’s note: This post was originally published in January 2021 and updated.

Education 52

Education Medicare Promotion Medicaid 52

American Nurse

SEPTEMBER 11, 2024

The value of these interactions was seen and now many insurance companies continue to provide reimbursement for complex or lengthy management of a patient through telephone triage (Centers for Medicare & Medicaid Services, 2023). Telephone triage has many benefits. It reduces costs.

Medicaid 52

Medicaid Medicare Retirement Nurse Shortage 52

Hospital Recruiting | Nursing

MAY 12, 2022

The Centers of Medicare and Medicaid Services (CMS) conducted an inspection of VUMC and issued a Statement of Deficiencies surrounding Murphey’s death, which sparked a criminal investigation into Vaught. In 2021, after the criminal investigation was initiated, the TN Board of Nursing later revoked her nursing license in July of 2021.

Malpractice 52

Malpractice Military Medicaid Medicare 52

American Nurse

OCTOBER 4, 2023

In 2021, a cohort study called the Learnings with Experts to Advance Diabetic Dyslipidemia Management in India presented analyses of 199 primary clinic sites. knowdiabetesbyheart.org/wp-content/uploads/2021/01/KDBH-Clinical-Practice-Guide-Booklet_Ambulator.pdf Lippincott NursingCenter. Primary prevention of cardiovascular disease.

Health Literacy 98

Health Literacy Self-Care Education Medicaid 98

American Nurse

FEBRUARY 21, 2024

Introduction SOUTH CAROLINA is predominately a rural state that consistently demonstrates poor health rankings, due to the lack of Medicaid expansion, healthcare deserts, and a decreasing physician supply. 2021, December). South Carolina Maternal Morbidity and Mortality Review Committee: Legislative Brief 2021. 2 March of Dimes.

APRN 52

APRN Nurse Practitioner Clinical Nurse Specialist Medicare 52

American Nurse

JUNE 13, 2024

Thirty-five qualitative and quantitative articles published between the years of 2015 and 2021 were included in the review. In the 2021 The Essentials: Core Competencies for Professional Nursing Education, the American Association of Colleges of Nursing (AACN) recognized the critical importance of nurses understanding cost and value. “The

Health Outcomes 52

Health Outcomes Medicaid Medicare Nurse Educator 52

Relias

MARCH 13, 2023

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. A patient access management audit may include a review of documentation such as Medicare Secondary Questionnaires and Advanced Beneficiary Notices.

Medicare 52

Medicare Medicaid Self-Care Best Practices 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

Home Healthcare 52

Home Healthcare Medicaid Business Medicare 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

Nurse.com

APRIL 22, 2023

According to 2023 data from the Centers for Medicare & Medicaid Services website, more than 1.5 during 2021. Post-COVID-19 focus No matter the setting, COVID-19 had an impact on hundreds of thousands of patients and healthcare professionals. Perhaps one of the most impacted was nursing homes and long-term care facilities.

Long Term Care 59

Long Term Care Medicaid Medicare Communication 59

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 Committee requests a report within 180 days of enactment of this Act addressing the role of Medicare funding in supporting the training of nursing and allied health professionals.

Medicare 40

Medicare Mental Health APRN Telemedicine 40

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.

Outpatient Clinic 52

Outpatient Clinic Retirement 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.

Outpatient Clinic 52

Outpatient Clinic Retirement Legal Issues Medicaid 52

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

Medicaid 52

Medicaid Business Best Practices Medicare 52