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Fraud, Waste, and Abuse (FWA) Refresher Training

American Medical Compliance

By staying vigilant, you help protect Medicare enrollees, preserve the integrity of the Medicare Program, and safeguard the Medicare Trust Fund. It strictly prohibits intentional payments – whether monetary or in-kind – in exchange for referrals or securing business under programs like Medicare and Medicaid.

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The Rise of Malpractice Claims Against NPs

Daily Nurse

According to “The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition,” claims again nurse practitioners (NPs) are rising. NSO’s & CNA’s report entitled, The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition , revealed that aging services claims increased from 17.2

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Medicare Care Compare: Publicly reported performance measures

American Nurse

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. In addition to informing patients, public reporting can drive providers to improve performance.

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Significant Change in Medicare Enrollment Risk Categories for SNFs

Healthcare Law Insights blog

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

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Hospitals with the Most Vulnerable Maternity Patients Understaffed with Nurses

Minority Nurse

for the most vulnerable childbearing populations, including Black mothers and those insured by Medicaid. These same nurse-to-patient ratios were included in the AWHONN nurse staffing standards published in 2022. Studies show that Medicaid pays hospitals less than half of what commercial insurers pay for a birth.

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Should You Become a Nurse Practitioner?

Nurse.com

This ratio has remained constant even as the number of practicing NPs has exploded in recent years , from 148,000 in 2010 to 222,000 in 2016, to 355,000 by Spring of 2022. It is no surprise, then, that NPs are in particular demand in rural America and, over 80% of NPs accept Medicare and Medicaid patients.

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Why COVID-19 patients who could most benefit from Paxlovid still aren’t getting it

American Nurse

A recent JAMA Network study found that sick people 85 and older were less likely than younger Medicare patients to get covid therapies like Paxlovid. The drug might have prevented up to 27,000 deaths in 2022 if it had been allocated based on which patients were at highest risk from covid. government 23.7 Pfizer reported $12.5

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