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Healthcare Providers’ Role in Preventing Fraud, Waste, and Abuse 

American Medical Compliance

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Moreover, as frontline defenders of the healthcare system, healthcare providers play a crucial role in preventing these issues.

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How to Work With Healthcare Talent Partners to Improve Quality of Care 

IntelyCare

It shouldn’t be a huge surprise that many senior living communities have told McKnight’s that they will have to increase agency use this year , especially in light of the Centers for Medicare and Medicaid Services (CMS) potentially moving forward with a new minimum staffing standard in 2023.

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Ten Components of a High-Quality Lung Cancer Screening Program

Consult QD

3 Who to enroll in a lung cancer screening program : Guidance from the United States Preventive Services Task Force (USPSTF) has contributed to policy from Centers for Medicare & Medicaid Services and other payors for who should be screened. Accessed March 22, 2023. 2021;4(4):e218559. Lung-RADS® v2022.

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The Exec: What Nursing Practice Redesign, or Evolution, Looks Like at Indiana University Health

Health Leaders | Nursing

A shared leadership/professional governance mindset is key to a successful practice redesign, CNE says. Gilbert spoke with HealthLeaders about how he and his organization are approaching practice redesign and best practices to implement a redesign. HealthLeaders: What is your definition of practice redesign?

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A Process for Improving Surgical Site Infection Prevention by Cardiac Surgery Programs

Consult QD

Additionally, hospitals are not reimbursed by the Centers for Medicare & Medicaid Services for costs associated with sternal wound infections, so these infections can have a negative financial impact. January 2023. DSWIs: Uncommon but impactful A DSWI is a devastating complication of cardiac surgery for the patient. References 1.

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Project ECHO and the geriatric healthcare workforce

American Nurse

In 2023, the focus shifted away from COVID-19 and toward emergency preparedness. By eliminating travel time and expense, participants, especially NPs in rural practices, can easily connect with colleagues and acquire specialty knowledge. 2023; 18(12). September 30, 2023. American Nurse Journal. www.ruralhealth.us/NRHA/media/Emerge_NRHA/Advocacy/Policy%20documents/2020-NRHA-Policy-Document-Rural-America%E2%80%99s-Senior-Citizens.pdf

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ANA’s Summary of $1.5 trillion Omnibus Includes Several Nursing Priorities

Capitol Beat

As part of this appropriation, Congress would establish and/or fund the following agencies, among others: Centers for Medicare & Medicaid Services : $4 billion in total spending, an increase of $50 million. Agencies Health and Human Services : $108.3 billion in total spending, an increase of $11.3