Healthcare Law Insights blog

FEBRUARY 27, 2025

On February 25, 2025, the U.S. How Medicaid Fraud Accusations Turned into PPP Loan False Statements In April of 2020, like many other healthcare providers, an Idaho-based home health agency applied for a PPP loan during the early days of the COVID-19 pandemic. What can Healthcare Providers Learn from This PPP FCA Case?

Medicaid 52

Medicaid Self-Care Business 52

Healthcare Law Insights blog

JANUARY 9, 2025

On January 8, 2025, a federal grand jury in Virginia returned an indictment against a hospital. Dr. Perwaiz sidestepped Medicaids 30-day waiting period for elective sterilization by backdating forms. The hospital was not charged until January 2025. Chesapeake Regional then billed Medicaid and other healthcare programs.

Medicaid 52

Medicaid Federal healthcare 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. During a phase-in period from January 1, 2025, to June 30, 2025, agencies that fail to submit the data will not be penalized.

Medicare 52

Medicare Medicaid Business 52

American Nurse

FEBRUARY 22, 2024

The second federal policy is Medicaid Postpartum Coverage Extension (passed in Missouri 7/2023). More than 40% of births are insured under Medicaid. Federal law mandates that states lengthen Medicaid eligibility to pregnant women with household incomes up to 138% of the federal poverty level through one year post birth.

Medicaid 52

Medicaid Mental Health Health Insurance Promotion 52

American Nurse

SEPTEMBER 18, 2024

Outdated language in Medicare and Medicaid regulations were written in 1965 before APRNs were providers in the U.S. Enhancing Ethical Practice Through the Voice of Nursing: 2025 Code of Ethics Review and discussion of 2025 Code of Ethics that includes a new section on global issues and responsibilities.

APRN 52

APRN Long Term Care Medicaid Medicare 52

American Nurse

SEPTEMBER 13, 2024

2713): The ICAN Act removes outdated Medicare and Medicaid practice barriers placed on Advanced Practice Registered Nurses (APRN’s), promoting patient access to healthcare services delivered by their provider of choice. The Assembly also approved a scheduled dues escalation starting in 2025.

Long Term Care 52

Long Term Care Medicaid Mental Health Medicare 52

Daily Nurse

DECEMBER 20, 2024

Few hospitals that serve a high percentage of Medicaid-eligible patient populations have Magnet Status or Pathway to Excellence recognition. Grant recipients will be announced in 2025. .” The new Nursing Initiative is designed to be adaptable, offering three areas of focused investment that will benefit patient care.

Health Outcomes 52

Health Outcomes Medicaid Nursing Burnout 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% CMS is proposing a requirement for agencies to submit OASIS data for all patients, regardless of payer, and not just for Medicare or Medicaid patients, beginning in 2025. Mandatory Telehealth Reporting.

Medicare 52

Medicare Medicaid 52

Relias

MARCH 1, 2023

According to a recent National Investment Center for Seniors Housing and Care (NIC) survey, one-fifth of nursing care respondents anticipate that occupancy levels will not return to the pre-pandemic rate until 2025 or beyond. This partnership can help secure referrals and stimulate cash flow, especially when taking on highly complex patients.

Medicare 52

Medicare Medicaid Patient Satisfaction Long Term Care 52

Capitol Beat

JULY 24, 2024

Here is what you need to know: The House Appropriations Committee recently advanced its Fiscal Year (FY) 2025 Labor, Health and Human Services, and Education (LHHS-ED) bill. Ahead of the congressional recess in August, the American Nurses Association has been hard at work advocating for the profession on Capitol Hill. 139 / SJ Res.

Medicare 40

Medicare APRN Long Term Care Medicaid 40

Hospital Recruiting | Nursing

MAY 12, 2022

A survey published on Forbes shows that 47% of healthcare providers plan to leave their positions by 2025. The Centers of Medicare and Medicaid Services (CMS) conducted an inspection of VUMC and issued a Statement of Deficiencies surrounding Murphey’s death, which sparked a criminal investigation into Vaught.

Malpractice 52

Malpractice Military Medicaid Licensing 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. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states.

Medicare 52

Medicare Self-Care Medicaid Communication 52

American Nurse

SEPTEMBER 11, 2024

The value of these interactions was seen and now many insurance companies continue to provide reimbursement for complex or lengthy management of a patient through telephone triage (Centers for Medicare & Medicaid Services, 2023). In a survey conducted of healthcare workers, Sinsky et al.

Medicaid 52

Medicaid Medicare Retirement Nurse Shortage 52

Relias

JUNE 28, 2023

This means considering things like: Referring working patients to clinics that offer extended hours Referring Medicaid patients to well-known psychiatric units that work well with their insurance And more Building rapport and understanding the patient more fully can help PCPs direct patients to the appropriate resource and encourage follow-ups.

Mental Health 52

Mental Health Holistic Care Medicaid Nurse Practitioner 52

Relias

OCTOBER 28, 2022

The HHCAHPS Survey will determine 30% of an agency’s total performance score, and that score will in turn determine the agency’s payment adjustment for 2025. Patient perception of communication and team discussion are two of those five elements. Increased scrutiny in hospices. Hospices should also be concerned about care coordination.

Care coordination 52

Care coordination Communication Medicaid Medicare 52

Health Leaders | Nursing

MARCH 12, 2025

So far, 2025 has been a year of chaos for healthcare. Pillar: CNO Image: Tags: leadership legal nurses nursing scope of practice Secondary Pillars: CNO Article Type: Analysis Published Date: Thursday, March 6, 2025 Hide sidebars: Render small main image: CNOs and other nurse leaders should be aware of these two pieces of legislation.

Preceptors 66

Preceptors APRN Medicaid Medicare 66

American Medical Compliance

MARCH 13, 2025

With July 5, 2025, fast approaching, healthcare organizations must act now to ensure compliance. Get the Comprehensive Affordable Care Act and Americans with Disabilities Act Compliance Training Here Section 1557 Compliance: What Healthcare Providers Must Do by July 5, 2025 Who Needs to Comply? Click here.

Medicare 59

Medicare Medicaid Health Insurance Patient Satisfaction 59

Relias

JANUARY 16, 2023

A McKinsey & Company survey shows that up to $265 billion worth of care services could shift from traditional healthcare facilities to the home by 2025. The Centers for Medicare and Medicaid Services (CMS) will expand its enforcement actions against poorly-performing facilities. Home-based care is growing. Penalties rise to $1M.

Medicare 52

Medicare Medicaid Telemedicine Nursing Burnout 52

American Nurse

JULY 3, 2024

Patient-centered care focused on self-sufficiency The Centers for Medicare and Medicaid Services (CMS) uses the term “home health” to describe a federal health insurance program that provides intermittent short-term care to help patients recover from illness and become as self-sufficient as possible at home. Home health care.

Self-Care 40

Self-Care Health Literacy Medicare Home Healthcare 40

Health Leaders | Nursing

JANUARY 6, 2025

A new study involving more than 80,000 US nursing homes has found a link between the use of staffing agency nurses and lower quality ratings in the Center for Medicare & Medicaid Services Five-Star system.

Long Term Care 52

Long Term Care Medicaid Medicare Licensing 52

Health Leaders | Nursing

JANUARY 13, 2025

Registered nurses who work for three years in a qualifying nursing home or in a state agency oversight role can get up to $50,000 in tuition reimbursement and upfront incentive payments from the Centers for Medicare and Medicaid Services, McKnight's Senior Living first reported.

Senior Living 88

Senior Living Medicaid Medicare 88

The Relentless School Nurse

MARCH 8, 2025

The Centers for Medicare & Medicaid Services (CMS) rescinded key guidance on March 4, 2025, affecting Medicaid and Childrens Health Insurance Program (CHIP) coverage for services addressing health-related social needs (HRSNs). However, it fails to consider the well-documented links between social factors and health outcomes.

Medicaid 41

Medicaid Health Outcomes Health Insurance Mental Health 41

The Relentless School Nurse

FEBRUARY 15, 2025

You only need to look at the CDC webpage for the Youth Risk Behavior Surveillance System (YRBSS) as an alarming example of what is happening: The yellow box at the top of the YRBSS page is this disclaimer: “Per a court order, HHS is required to restore this website as of 11:59PM ET, February 11, 2025.

Medicaid 41

Medicaid Medicare Promotion Health Insurance 41

The Relentless School Nurse

MARCH 21, 2025

On March 20, 2025, President Donald Trump signed an executive order to dismantle the U.S. The coming months will determine whether this misguided and dangerous campaign promise taken directly from the pages of Project 2025 moves forward. Department of Education (USDOE). Trump asked them, “Should I proceed with this?”

Education 96

Education Medicaid Health Outcomes 96