Health Leaders | Nursing

SEPTEMBER 5, 2023

Editor’s note: This article appears in the July-September 2023 edition of HealthLeaders magazine. Hartl's business model is to establish relationships with local hospitals and communities, rather than just setting up a telemedicine platform and letting the chips fall where they may. What will it take?

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

Relias

NOVEMBER 4, 2021

A team of competent, compassionate, and qualified clinicians forms the backbone of every profitable home health business. Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. Capturing the higher Medicare reimbursement potential that PDGM provides for those conditions.

Medicare 52

Medicare Business Medicaid Professional Development 52

American Medical Compliance

JUNE 21, 2024

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. However, they do not align with accepted medical or business practices. Unlike fraud, waste is not necessarily intentional but results from inefficiencies.

Medicaid 93

Medicaid Continuing Education Medicare Communication 93

Nurse.com

APRIL 14, 2022

The law authorized NPs to certify and recertify home health care services for Medicare patients, strengthened funding for personal protective equipment (PPE) for nurse practitioners (NPs) and other healthcare providers, and ensured vital resources to respond to the pandemic,” she said. NPs as Primary Care Providers.

Nurse Practitioner 98

Nurse Practitioner APRN Medicare Patient Satisfaction 98

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. A study published in Value in Health on the cost of chronic wound care for Medicare beneficiaries revealed that nearly 15% of the patients (8.2 billion to $96.8

Education 10

Education Medicare Medicaid Business 10

Relias

JUNE 19, 2023

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 Building a wound care specialty can bring new clients to your business. Considering joining the 2023 Wild on Wound Conference? billion in fiscal year 2016 to $2.01

Long Term Care 52

Long Term Care Business Medicare Patient Satisfaction 52

Daily Nurse

SEPTEMBER 12, 2023

Healthcare is a business, and every business has to show a return on investment. You’ll get better reimbursement from Medicare, the big blues, and everybody else in insurance. People always look at how much we pay a department and then ask what they produce. What is their output? You’re not aligned.

Nurse Shortage 126

Nurse Shortage Nurse Practitioner Education Travel Nursing 126

American Nurse

FEBRUARY 21, 2024

29 Methods A convenience sample of 1500 APRNs (NPs, CNSs, CNMs) was asked to complete a 15-item questionnaire via Survey Monkey over three months in 2023. 2023, January 18). Quality of primary care provided to Medicare beneficiaries by nurse practitioners and physicians. Retrieved March 2023. Journal of Health Economics.

APRN 52

APRN Nurse Practitioner Clinical Nurse Specialist Medicare 52

Healthcare Law Insights blog

NOVEMBER 10, 2023

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.” Assessing staffing to ensure appropriate staff numbers, quality, and composition.

Leadership 59

Leadership Medicare Business Best Practices 59

Relias

FEBRUARY 1, 2023

It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. Some Medicare Advantage plans are denying authorization for hospitalization.

Physician Office 10

Physician Office Medicare Retirement Education 10

Nursing Review

SEPTEMBER 30, 2024

Medicare also subsidised fees for medical services delivered for private patients in private and public hospitals to the tune of $3.81 billion in 2023–24. Anthony Scott , Professor of Health Economics and Director, Centre for Health Economics, Monash Business School, Monash University and Terence C.

Health Insurance 52

Health Insurance Medicare Licensing Business 52

Relias

OCTOBER 28, 2022

Under the first performance year of VBP in 2023, home health agencies will be scored in part on the patient’s perception of their communication and team discussion.” At busy agencies, many instances of care coordination occur throughout the day as clinicians go about their jobs — but not all get documented. Document all coordination.

Care coordination 52

Care coordination Communication Medicaid Medicare 52

American Nurse

APRIL 2, 2024

More recently, in November 2023, the White House released a playbook for addressing SDOH. School and business closures exacerbated food insecurity and income inequality. ANA considers these numbers a first step toward direct reimbursement for nursing services from Medicare and Medicaid.

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

Capitol Beat

DECEMBER 22, 2022

This year was a busy and turbulent time for all of us as we continued to navigate life under the COVID-19 pandemic—and nobody knows this more than nurses and healthcare workers. In a tumultuous year, we advocated for nurses and made important progress that will carry us into the new legislative session in 2023.

Medicaid 52

Medicaid Medicare APRN Chief Nursing Officer 52

Scrubs

JULY 16, 2024

It’s a really tough business right now,” said Mark Parkinson, president and chief executive of one trade group, the American Health Care Association. His father died in April 2023, four months after he entered the home. His father died in April 2023, four months after he entered the home.

Medicaid 104

Medicaid Long Term Care Medicare Retirement 104

American Nurse

JULY 29, 2024

It’s a really tough business right now,” said Mark Parkinson, president and chief executive of one trade group, the American Health Care Association. His father died in April 2023, four months after he entered the home. And federal enforcement of those rules is still years off. It comes down to political will to enforce staffing.”

Medicaid 59

Medicaid Long Term Care Medicare Retirement 59

American Nurse

FEBRUARY 29, 2024

Here’s a look at progress made in 2023 and priorities for 2024. This bill would establish a permanent funding stream in Medicare for hospitals to partner with schools of nursing, community-based care settings, and other hospitals to increase clinical education for APRN students.

APRN 52

APRN Medicare Long Term Care Medicaid 52

American Nurse

JUNE 13, 2024

One example is local ordinance such as zoning law that prohibits certain kinds of businesses within a designated distance from a school. Examples include Medicare and the Patient Protection and Affordable Care Act of 2010. Social policy pertains to decisions that promote the welfare of the public. Milstead, J.

Promotion 52

Promotion Medicare Health Outcomes Business 52