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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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Severe Wound Care Is Shifting to Post-Acute Care

Relias

According to a 2021 report from the United States Government Accountability Office, Medicare spending on stays for severe wound care declined about 2% from $2.06 When staff is trained on wound best practices, the patients have better outcomes. Considering joining the 2023 Wild on Wound Conference? Register here.

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

Capitol Beat

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. The survey found that these shortages exacerbated longstanding challenges in health care delivery, access to care, and health outcomes.

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Not Worth the [Compliance] Risk! OIG’s New Integrated Approach

Healthcare Law Insights blog

On November 6, 2023, the Office of Inspector General (“OIG”) issued its long-awaited General Compliance Program Guidance (“Guidance”) “to help advance the industry’s voluntary compliance efforts in preventing fraud, waste, and abuse in the health care system.” Understanding the law around employing excluded individuals.

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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?