Health Leaders | Nursing

FEBRUARY 24, 2023

That provision, along with another to include non-medically directed CRNA services as a mandatory benefit under the Medicaid program, is being cheered by the American Association of Nurse Anesthesiology (AANA).

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Medicaid Medicare 105

Capitol Beat

FEBRUARY 28, 2023

The COVID-19 Public Health Emergency (PHE) that was declared in March 2020 is set to end on May 11, 2023, as the President has announced there will be no more extensions to the PHE. The end of the PHE will also have an effect on the Medicaid program. That means that this will end on December 31 of this year. Anesthesia Services.

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APRN Medicaid Medicare Resume 101

American Nurse

NOVEMBER 5, 2023

Minimum staffing standards proposed for LTC facilities On September 1, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that, if finalized, would establish minimum staffing standards for long-term care (LTC) facilities. The post ANA Enterprise News, November 2023 appeared first on American Nurse.

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Long Term Care Medicaid Medicare 52

American Nurse

MAY 5, 2023

NPIs provide a means for 
advanced practice RNs to 
bill most insurance providers, including Medicare and Medicaid. The post ANA Enterprise News, May 2023 appeared first on American Nurse. This content is for Digital Access and Print Plus subscribers only. Visit the site and log in/register to read.

Medicaid 52

Medicaid Medicare Professional Development 52

American Nurse

APRIL 30, 2024

In this role, she leads projects and advises within the agency aimed at improving care for Medicaid beneficiaries in Texas. Rocha and her team translate that clinical language into policy, determining needs for Medicaid recipients and bringing in specialty clinicians when necessary. Learn more at nursingworld.org/ancc/.

Medicaid 116

Medicaid APRN Health Literacy Nurse Practitioner 116

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. How will the 2023 final rule affect your business? While this seems like a treat, William A.

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Medicare Medicaid Business 52

Health Leaders | Nursing

SEPTEMBER 5, 2023

Editor’s note: This article appears in the July-September 2023 edition of HealthLeaders magazine. of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. What will it take?

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Medicare Medicaid Telemedicine Nurse Practitioner 116

American Nurse

SEPTEMBER 27, 2023

Despite the evils of the pandemic, one important change was the expansion of private insurance reimbursement for telehealth services as well as Medicare and Medicaid expansion to reduce previously prohibitive barriers of telehealth services. References Centers for Medicare & Medicaid Services. March 17, 2020. link] Zemlak, J.

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Medicare Telemedicine Medicaid Communication 116

American Nurse

MARCH 13, 2024

In fact, the drug is still free for those who are uninsured or enrolled in Medicare, Medicaid, or other federal health programs, including those for veterans. billion in Paxlovid and covid vaccine sales in 2023, after a $57 billion peak in 2022. Pfizer reported $12.5

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Medicare Medicaid Senior Living Long Term Care 111

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.

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Medicaid Medicare Nurse Shortage 98

Scrubs

JUNE 22, 2023

In all cases, the majority were Medicaid enrollees. States across the rural Southeast have not expanded Medicaid coverage to larger numbers of lower-income residents, which often means lower shares of patients have health coverage. South Dakota voters adopted Medicaid expansion in late 2022 and will implement it this summer.

Medicaid 69

Medicaid Education 69

Capitol Beat

APRIL 4, 2022

Recently, the Biden Administration released its Fiscal Year (FY) 2023 budget proposal. Title VIII Nursing Workforce Development Programs received $294.972 million for FY 2023. billion in discretionary funding for Centers for Medicare and Medicaid Services, a 8% increase from FY 22 $9.9 decrease from FY 22 $4.3

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Medicaid Medicare Mental Health Nurse Educator 40

American Nurse

FEBRUARY 22, 2024

Missouri’s maternal mortality rates are double the national average, placing the state 38th in the United States (Nickelson, 2023). Additionally, rates of chronic conditions such as obesity, diabetes, and hypertension continue to rise among women of childbearing age (Health in Rural Missouri Biennial Report, 2022-2023). Margiotta, C.,

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Medicaid Mental Health Health Insurance Promotion 52

Health Leaders | Nursing

JULY 17, 2024

An amicus brief , published in September 2023, warned that "overruling Chevron would have enormous impact on the administration of federal programs, including Medicare, Medicaid, and CHIP, that are critical to public health."

Medicaid 64

Medicaid Medicare Mental Health 64

Healthcare Law Insights blog

APRIL 28, 2023

The Department of Health and Human Services (HHS) has announced its plan to end the Federal Public Health Emergency (PHE) for COVID-19 on May 11, 2023. Some of these changes have become permanent or extended beyond the end of the PHE due to Congressional action, while some waivers will expire on May 11, 2023. Reimbursement A.

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HIPAA Medicare Medicaid Telemedicine 52

IntelyCare

MAY 1, 2024

Nearly eight months have passed since The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to set minimum staffing standards for nursing homes. At the time, the proposed CMS staffing mandate was met with criticism from all sides. The dust has settled — for now.

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Long Term Care Licensing Medicaid Medicare 101

Consult QD

MAY 16, 2023

A new policy from the Centers for Medicare & Medicaid Services (CMS) vastly expands coverage for continuous glucose monitoring (CGM), putting better type 2 diabetes management within reach for millions more patients. In Ohio, Medicaid recently started covering CGM for all people with diabetes, regardless of what medications they take.

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Medicaid Medicare Education 88

Healthcare Law Insights blog

JULY 7, 2023

A handful of FCA circuit court decisions issued in 2023 are noteworthy as well. The Sixth Circuit further agreed the amended complained faced another problem: neither the hospital nor the eye care center’s owner submitted claims for Medicare or Medicaid reimbursement for items or services “resulting from” the AKS violation.

Pharmaceutical 52

Pharmaceutical Medicare Medicaid Communication 52

American Nurse

MAY 8, 2023

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. 2023; 18(5). ahrq.gov/cahps/surveys-guidance/index.html Centers for Medicare & Medicaid Services. March 8, 2023.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 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

Consult QD

APRIL 6, 2023

In 2023, there should be no reason that we don’t have enough scientific evidence to guide decision-making in pediatric heart failure and heart transplant. Here are their findings in summary: Those in distressed communities were more likely to be Black and Hispanic, listed as Status 1A and have Medicaid insurance.

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Medicaid Promotion Education 112

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. Moreover, as frontline defenders of the healthcare system, healthcare providers play a crucial role in preventing these issues.

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Medicaid Continuing Education Medicare Communication 93

Healthcare Law Insights blog

NOVEMBER 22, 2022

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.

Medicare 52

Medicare Medicaid Mental Health 52

Health Leaders | Nursing

MARCH 5, 2023

Care models had not wavered much since hospitals became medicalized in the early 20 th century, and particularly since the Centers for Medicare & Medicaid Services (CMS) were created in 1965, says Jason Gilbert, PhD MBA RN NEA-BC , executive vice president and chief nurse executive, Indiana University Health.

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Retirement Nurse Shortage Leadership Medicaid 116

American Nurse

SEPTEMBER 9, 2024

Change this 100-year-old policy (2023) thefreelibrary.com – Nursing is the room rate (2012) HISTORY “Want to Fix the Nursing Shortage?” Medicare, Medicaid, and many private insurers require the use of the National Provider Identifier (NPI) which is administered by the Centers for Medicare and Medicaid Services (CMS).

Medicare 52

Medicare Medicaid APRN Nurse Shortage 52

American Nurse

JUNE 13, 2024

Change this 100-year-old policy (2023) thefreelibrary.com – Nursing is the room rate (2012) HISTORY “Want to Fix the Nursing Shortage?” Medicare, Medicaid, and many private insurers require the use of the National Provider Identifier (NPI) which is administered by the Centers for Medicare and Medicaid Services (CMS).

Medicare 52

Medicare Medicaid APRN Nurse Shortage 52

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The behavioral adjustment proposed for 2023 would permanently reduce the 30-day payment rate by 7.69%. decrease in pay for 2023 is the net effect. The proposed 4.2% Mandatory Telehealth Reporting.

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Medicare Medicaid 52

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 receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 2023; 18(7). March 2023. 2023 Comprehensive Accreditation Manual.

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Medicaid Medicare Promotion Leadership 52

Healthcare Law Insights blog

DECEMBER 11, 2023

A hospital that receives what it suspects to be an improper transfer must report their suspicions to the Centers for Medicare and Medicaid Services or the relevant state survey agency within 72 hours of when the hospital suspects they have received an improperly transferred individual. Ass’n, AMA Principles of Med. Ethics: II: 9.4.2

Medicaid 59

Medicaid Medicare Licensing 59

Minority Nurse

NOVEMBER 13, 2024

That includes advocating for legislation to improve federal employees’ timely access to healthcare for workplace injuries and removing Medicare and Medicaid barriers on NPs and other advanced practice registered nurses. A new study from the AANP supports granting greater access to NPs for patient care.

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Nurse Practitioner Medicaid Medicare Licensing 59

American Medical Compliance

FEBRUARY 13, 2023

Interoperability of Telehealth The Centers for Medicare and Medicaid Services (CMS) is coming up with a process for improving the exchange of electronic healthcare information and interoperability. Reference Health IT News (2023, January 23). What’s ahead for health IT policy and legislation in 2023. course today.

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Medicaid Medicare 52

American Nurse

JULY 18, 2024

It saves money for Medicare and Medicaid, and it’s exactly what the people want. November 5, 2023. Balina highlighted the confluence of costs and care: “It has been proven again and again that this approach saves money. It’s a rare situation where economics and care align. It saves money for everyone. That never happens.”

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Business Medicare Medicaid 98

American Nurse

MARCH 5, 2024

Recently, I had the privilege of meeting with Governor Kelly and several healthcare organizations in Kansas to discuss strategies for passing legislation on Medicaid expansion for the state. We delved into the impact of neighboring states expanding Medicaid, drawing Kansas residents for healthcare services, leading to revenue loss.

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Medicaid Leadership Business 40

Health Leaders | Nursing

APRIL 10, 2023

As we move toward value-based care, we have to take care of lots of people, especially as Medicaid is expanded throughout our country. For example, in dermatology, APPs might do general dermatology and the physicians might do the surgical subspecialty part of that.

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Pharmaceutical Private Practice Nurse Practitioner Medicaid 111

Consult QD

OCTOBER 24, 2023

So concludes the randomized controlled WATCH-TAVR trial, which was presented by Samir Kapadia, MD , in a late-breaking clinical trials session at the TCT 2023 conference in San Francisco and published simultaneously in Circulation. device is noninferior to TAVR plus medical therapy with anticoagulation.

Medicaid 97

Medicaid Medicare 97

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS FWA Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities. Prescription Drug Plans (PDP) provides such coverage.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS EMS Fraud Waste and Abuse Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities.

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Medicare Medicaid Pharmaceutical Federal healthcare 52