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. This involves promoting ethical behavior, encouraging open communication, and having a zero-tolerance policy towards FWA.

Medicaid 105

Medicaid Continuing Education Medicare Communication 105

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Outpatient Clinic 52

Outpatient Clinic Retirement Legal Issues Medicaid 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Outpatient Clinic 52

Outpatient Clinic Retirement Legal Issues Medicaid 52

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern. CPT codes for billing purposes are available.

Telemedicine 73

Telemedicine Medicaid Medicare Licensing 73

Relias

APRIL 10, 2025

From natural disasters to pandemics and cyberattacks, healthcare organizations must be ready to protect their patients, staff, and communities under any circumstance. This regulation established consistent emergency preparedness requirements for Medicare and Medicaid providers and suppliers of all types.

Medicaid 52

Medicaid Medicare Long Term Care Communication 52

American Nurse

DECEMBER 8, 2023

The Centers for Medicare & Medicaid Services won’t reimburse hospitals for the care of this condition and may apply a value-based penalty fee. Comprehensive documentation of any dysfunction in skin integrity aids early diagnosis and prompt treatment to improve overall outcomes. See Skin assessment guide.)

Clinical Nurse Specialist 98

Clinical Nurse Specialist Medicaid Medicare Communication 98

Healthcare Law Insights blog

OCTOBER 17, 2023

To best position the nursing home for the most successful outcome at the appeal hearing, the facility must follow specific rules and requirements as it discharges or transfers the resident and the facility must ensure it documents all necessary facts along the way. What documentation is required before sending the notice of discharge?

Long Term Care 59

Long Term Care Medicaid Medicare Communication 59

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.” Patient perception of communication and team discussion are two of those five elements. Assessing communication and collaboration. Increased scrutiny in hospices.

Care coordination 52

Care coordination Communication Medicaid Medicare 52

Celayix

FEBRUARY 7, 2023

Other common complaints from patients include poor communication, and lack of continuity. When it comes to home healthcare, there are multiple parties that require absolute transparency in their communications. There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid.

Home Healthcare 52

Home Healthcare Business Medicaid Medicare 52

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Documentation of this distribution is required. 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.

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. Documentation of this distribution is required. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses. Medicare Advantage and Part D sponsors have to provide FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

Board Vitals - Nursing

AUGUST 30, 2016

Quick links are posted at the bottom of this document for your convenience. Teen pregnancy Increase access to contraceptive counseling by expanding the age and income eligibility levels for Medicaid coverage of family planning services to increase teens’ access to healthcare services, including contraception and other preventive services.

Medicaid 52

Medicaid Promotion Licensing Health Outcomes 52

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Bear in mind that your rating depends on accurate documentation of your initial assessment of the patient and in your Medicare claims for the care provided.

Medicare 52

Medicare Medicaid Staff Training Home Healthcare 52

Minority Nurse

MARCH 19, 2024

The United States Government Accountability Office reported a 15-fold increase over the prepandemic level in telehealth use among Medicaid beneficiaries. Unlimited Options Ryan Morcrette, BSN, RN, CEN, is the director of virtual care and clinical communications at St. Numbers skyrocketed from 2.1

Chief Nursing Officer 59

Chief Nursing Officer Bedside nursing Clinical Nurse Specialist Telemedicine 59

Healthcare Law Insights blog

JULY 7, 2023

Importantly, although the court assumed the relator engaged in some protected activity, the court found that in many of her communications she, at most, characterized discrepancies in therapy documentation as mistakes or possible computer glitches, not fraud. The hospital simply left things where they were.

Pharmaceutical 52

Pharmaceutical Medicare Medicaid Communication 52

Relias

JANUARY 30, 2024

Healthcare organizations receive scores from the HCAHPS survey , which according to the Centers for Medicare and Medicaid Services, is “the first national, standardized, publicly reported survey of patients’ perspectives of hospital care.” Educate the patient Receiving a new diagnosis or update to an existing one can be frightening.

Patient Satisfaction 52

Patient Satisfaction Patient Experience Medicare Self-Care 52

Relias

AUGUST 9, 2023

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. The best-made plans are laid to waste if there’s no effective communication from the top down within an accessible channel.

Best Practices 52

Best Practices Education Medicaid Medicare 52

Relias

MAY 1, 2022

Keeping accurate documentation. Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Skillful Clinician Communication. Costly Pressure Injuries.

Education 98

Education Communication Long Term Care Medicaid 98

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Be Documented : Maintain records of training sessions for accountability and future reference. 5. Health Insurance Providers : Companies providing health coverage plans.

Medicare 59

Medicare Health Insurance Medicaid Patient Satisfaction 59

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. Frequently, providers report measures using standardized documentation required by CMS. Data transparency aids care quality improvement.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 52

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. Advance directives are legal documents that allow adults to record their wishes related to serious illness or end-of-life care. See Patient self-determination.

Self-Care 59

Self-Care Medicaid Medicare Nurse Practitioner 59

Relias

OCTOBER 10, 2022

Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. Respectful communication and appropriate behavior. Audit coding and billing to ensure clinical documentation integrity. Think like a surveyor.

Medicaid 52

Medicaid Medicare Self-Care Licensing 52

Relias

FEBRUARY 26, 2024

It involves communicating and collaborating with patients, their families, and their health care teams to ensure that the patient’s needs and preferences are met and that the best possible outcomes are achieved. The team should document successes and address any challenges or issues that arise. What is care coordination?

Care coordination 52

Care coordination Patient Satisfaction Self-Care Emergency Care 52

American Nurse

JUNE 13, 2024

Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. million to support four projects led by nurses that document nurses’ value to health care and create a road to reimbursement for nursing care. The Foundation granted $5.5

Health Outcomes 52

Health Outcomes Medicaid Medicare Nurse Educator 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.

Self-Care 40

Self-Care Health Literacy Medicare Home Healthcare 40

American Nurse

OCTOBER 2, 2023

The SCALE document proposes that the skin isn’t impervious to dysfunction at the end of life and may include varying degrees of skin and tissue damage, including pressure injuries. Skillful communication and empathy can help prevent litigation. The result can include large and unusual presentations of skin failure.

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

Relias

MARCH 13, 2023

As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021. Finally, enlist a communication or UX specialist to evaluate all written materials for clarity and readability. Additional rules took effect in July 2022.

Medicare 52

Medicare Medicaid Self-Care Best Practices 52

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Maternal mortality is closely linked to social and behavioral factors As documented extensively, higher U.S. Sadly, U.S.

Medicaid 40

Medicaid Mental Health Health Insurance Medicare 40