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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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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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Home Health CoPs Update: New Opportunities for OTs

Relias

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.

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The Coming Exodus of RN’s

Empowered Nurses

In it, 335,000 registered nurses and licensed practical/vocational nurses surveyed in 2022. For the first time ever, centers for Medicare and Medicaid services have proposed new staffing regulations for long term care facilities. That survey found that one in four nurses intended to leave the profession in the next four years.