Healthcare Law Insights blog

MAY 4, 2022

In the Federal omnibus spending bill signed in March 2022, Congress extended current Medicare reimbursement waivers applicable to telehealth services for five months beyond the end of the PHE. Medicare will continue to cover certain audio-only telehealth services. Bipartisan bills (i.e.

Medicare 52

Medicare Mental Health 52

Daily Nurse

APRIL 24, 2023

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

Malpractice 145

Malpractice Nurse Practitioner Long Term Care Medicaid 145

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

Nurse.com

JULY 18, 2022

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.

Nurse Practitioner 105

Nurse Practitioner Bedside nursing Medicaid Medicare 105

Daily Nurse

JULY 31, 2023

The American Nurses Association (ANA) underscores the urgency for Congressional leaders, the Centers for Medicare & Medicaid Services (CMS), and other key stakeholders to advance efforts in implementing safe staffing standards , including minimum nurse-to-patient ratios.

Medicaid 98

Medicaid Medicare Nurse Shortage 98

Empowered Nurses

OCTOBER 12, 2023

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.

Long Term Care 97

Long Term Care Nurse Practitioner Medicaid Medicare 97

Capitol Beat

JANUARY 2, 2023

As 2022 was winding down, Congress finalized negotiations on an end of year package to keep the government open. This is a $20 million increase over Fiscal Year (FY) 2022 enacted levels. This is a $16.831 million increase over FY 2022 enacted levels. Annual Medicare Payment Changes Medicare providers were faced with 8.5%

Clinical Nurse Specialist 40

Clinical Nurse Specialist Chief Nursing Officer Medicare APRN 40

American Medical Compliance

SEPTEMBER 25, 2022

On July 27th, 2022, the House implemented a bill to further expand Telehealth services. During the COVID-19 pandemic, most medical providers transitioned into online consultations with patients using Telehealth with the help of Medicare. 2022, July 27). Retrieved September 24, 2022, from [link]. Debbie Dingell (D-Mich.),

Medicare 52

Medicare Telemedicine Nurse Practitioner 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

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

Minority Nurse

MAY 19, 2023

These same nurse-to-patient ratios were included in the AWHONN nurse staffing standards published in 2022. Recent data show that patients at high risk for severe maternal complications are more likely to give birth in teaching hospitals and have Medicaid as their insurer.

Medicaid 98

Medicaid Clinical Nurse Specialist Medicare Health Outcomes 98

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

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

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 estimates that this move would decrease reimbursements by about $810 million compared to 2022 projected reimbursements. The behavioral adjustment is required by the Bipartisan Budget Act of 2018.

Medicare 52

Medicare Medicaid 52

Nursing Review

JANUARY 29, 2025

Career planning and promotions Nursing and midwifery are two professions that are unfortunately still operating under a legacy of gendered pay , with the Australian Institute of Health and Welfare reporting that in 2022, 88 per cent of nurses and midwives in the country were female.

Professional Development 98

Professional Development Self-Care Leadership Business 98

American Medical Compliance

MARCH 13, 2023

Many of these individuals targeted elderly patients who receive Medicare benefits. Others controlled telemarketing schemes in order to target elderly Medicare patients to consent to tests by misleading and deceiving them. The Centers for Medicare & Medicaid Services investigates these cases and prioritizes protecting patients.

Medicare 52

Medicare Telemedicine Medicaid Promotion 52

Capitol Beat

AUGUST 24, 2022

3173) : This legislation would protect patients from unnecessary delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program. As we know, there are many issues nurses care about, but for this year’s Hill Day, we focused on three key topics: Improving Seniors’ Timely Access to Care Act of 2021 (S.3018/H.R.

APRN 52

APRN Medicare Communication Education 52

Council of Public Health Nursing Organizations

MARCH 8, 2024

CMS (2022) created rural emergency hospitals (REH) as a separate provider designation effective January 1, 2023. 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.

Medicaid 52

Medicaid Medicare Emergency Care Promotion 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. Barring Congressional action, this waiver is set to expire at the end of the Public Health Emergency , which CMS recently indicated would be in July 2022.

Medicaid 52

Medicaid Medicare Patient Satisfaction Business 52

Nurse.com

APRIL 14, 2022

Laura Kelly signed House Bill 2279 into law making Kansas the second state in 2022 and the 26th state in the nation to adopt FPA legislation. The Kansas legislation was signed just days after New York’s and was met with equal excitement.

Nurse Practitioner 98

Nurse Practitioner APRN Medicare Patient Satisfaction 98

Minority Nurse

NOVEMBER 13, 2023

In April of 2022, New York Governor Kathy Hochul signed legislation that nurse practitioners with more than 3600 hours of clinical experience have full practice authority and are no longer mandated to have any contract with physicians to practice. There are many outdated laws or policies, particularly Medicare and Medicaid.

Nurse Practitioner 116

Nurse Practitioner Medicaid Medicare Leadership 116

Healthcare Law Insights blog

MARCH 25, 2022

On March 23, 2022, the Occupational Safety and Health Administration (OSHA) published a notice in the federal register announcing a limited re-opening of the comment period regarding OSHA’s final standard to protect healthcare and healthcare support service workers from occupational exposure to COVID-19. Contact us.

Medicaid 52

Medicaid Medicare Business 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. You will compete nationally in your applicable size cohort determined by your 2022 census.”. million decrease. Preparing for the change.

Medicare 52

Medicare Self-Care Medicaid Communication 52

American Medical Compliance

NOVEMBER 3, 2022

The end of 2021 to early 2022, approximately 21 months into the COVID-19 pandemic, saw the addition of a second electronic survey that was exclusive to physicians. 2022, September 30). Retrieved October 27, 2022, from [link]. This study would take place over three-year intervals. doctors was 62.8%. References. Sudhakar, S.

Telemedicine 52

Telemedicine Mental Health Medicare Promotion 52

IntelyCare

DECEMBER 27, 2022

To inform future proposals, the Centers for Medicare & Medicare Services (CMS) is conducting a mixed methods study that will include CNAs, LPNs/LVNs, and RNs. In the midst of a shortage and increasing healthcare costs, significant government intervention would be needed to support providers.

Leadership 52

Leadership Medicare Travel Nursing Education 52

Consult QD

DECEMBER 4, 2023

Notably, one double-blinded, multicenter prospective randomized controlled trial published in 2022 demonstrated a larger safety and efficacy benefit for aquablation over transurethral resection of the prostate (TURP), the most common surgical treatment for small and medium-sized prostates.

Medicare 52

Medicare Patient Experience 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

Healthcare Law Insights blog

MAY 17, 2023

Vascular surgeons soliciting these patients who are seeking only to improve their appearance, but then claim medical conditions necessitating treatment that Medicare covers, run a tremendous risk of DOJ scrutiny. 11, 2022, available at [link]. [2] And not just DOJ scrutiny, but whistleblower scrutiny as well. 5] 42 U.S.C.

Medicare 52

Medicare Medicaid 52

Capitol Beat

DECEMBER 6, 2022

Recently, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) entitled Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs. These recommendations also support ANA’s legislative advocacy as we encourage lawmakers to support H.R.

APRN 52

APRN Medicaid Medicare Licensing 52

American Medical Compliance

AUGUST 27, 2024

CMS Coverage Decision for Continuous Glucose Monitors On February 28, 2022, the Centers for Medicare and Medicaid Services (CMS) made a significant determination, classifying both non-adjunctive and adjunctive Continuous Glucose Monitors (CGMs) as Durable Medical Equipment (DME).

Medicaid 52

Medicaid Medicare Patient Experience 52

Nursing Review

APRIL 8, 2024

A ramping taskforce was established by the health minister in 2022, with the report released at the start of the year. "This, in turn, leads to overwhelming stress being placed on our nursing and midwifery workforce; at times resulting in resignations and early retirement."

Nurse Practitioner 52

Nurse Practitioner Medicare Retirement 52

Healthcare Law Insights blog

MARCH 13, 2024

Current Vulnerability of Healthcare Data While 44 million people were affected by breaches of healthcare information in 2022, that number ballooned in 2023 as hackers and other cybercriminals have grown more sophisticated in their attacks.

Medicare 59

Medicare 59

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 accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

American Nurse

SEPTEMBER 5, 2024

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). People with less than 20 teeth have problems eating healthy food.

Medicare 52

Medicare Self-Care Promotion Communication 52

Capitol Beat

SEPTEMBER 23, 2022

On July 12, 2022, ANA announced a Racial Reckoning statement acknowledging our harmful past actions and outlining a plan to rectify our history and make changes for the future. Our work in the last few months is an illustration, with ANA’s policy team submitting comment letters to the Centers for Medicare and Medicaid Services (CMS).

Medicare 40

Medicare Medicaid Health Outcomes Promotion 40

IntelyCare

JANUARY 10, 2023

The RAI process is also a federal requirement from the Centers of Medicare and Medicaid Services (CMS) as outlined in section §483. This assessment is completed initially and periodically and is comprehensive, accurate, and standardized. It is a reproducible assessment of each resident’s functional capacity.

Medicaid 52

Medicaid Medicare Mental Health Licensing 52

Relias

FEBRUARY 1, 2023

Primary care practices have a median of 24% of their accounts receivable (A/R) over 120 days old, according to MGMA’s 2022 Cost and Revenue Survey. At the same time, payer changes are happening more often, reimbursement is taking longer, and claim errors are increasing, according to the State of Claims 2022 report from Experian.

Physician Office 10

Physician Office Medicare Retirement Education 10