Relias

OCTOBER 6, 2021

The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services. Use open and transparent communication strategies. But what exactly makes a good supervisor?

Medicaid 105

Medicaid Leadership Health Insurance Medicare 105

Scrubs

AUGUST 6, 2023

As part of this effort, the Centers for Medicare & Medicaid Services (CMS) launched a program to incentivize healthcare professionals to adopt the latest technology – namely, electronic health records (EHRs). Providers can also reduce certain Medicare/Medicaid fees by participating in the program.

Medicaid 98

Medicaid Medicare Care coordination Business 98

Nurse.com

MAY 9, 2022

These children account for one-third of total healthcare spending and 40% of Medicaid’s total spending on kids,” according to a Children’s Hospital Association news release. reduction to Medicaid spending in the first full year of operation, according to a news release. “A This accounted for a 2.6%

Care coordination 105

Care coordination Medicaid Outpatient Clinic Medicare 105

Nurse.com

JULY 18, 2022

For Perion, “advocacy, collaboration, and communication” are the three key things she learned as a bedside nurse, and these are also the goals she brings into her NP practice each day. It is no surprise, then, that NPs are in particular demand in rural America and, over 80% of NPs accept Medicare and Medicaid patients.

Nurse Practitioner 105

Nurse Practitioner Bedside nursing Medicaid Medicare 105

American Nurse

JUNE 3, 2024

Potential barriers to quality care for patients with ASD include a patient’s inability to effectively communicate their needs to providers, sensory issues worsened by the overstimulating hospital environment, and a lack of specialized ASD training among healthcare providers. See EBP recommendations.) ASD order set.

Communication 111

Communication Medicare Self-Care Mental Health 111

Daily Nurse

APRIL 24, 2023

Centers for Medicare and Medicaid Services. Document your patient care assessments, observations, communications, and actions in an objective, timely, accurate, complete, and appropriate manner. There are currently about 14 million people receiving some form of long-term care services.

Malpractice 145

Malpractice Nurse Practitioner Long Term Care Medicaid 145

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

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

Diversity Nursing

OCTOBER 16, 2024

They take the time to build trusting relationships with patients, promoting open communication. This is particularly important for women in marginalized communities, who often face biases and discrimination in healthcare settings. Their voices are essential in driving systemic change to reduce maternal mortality on a larger scale.

Medicaid 92

Medicaid Promotion Mental Health Communication 92

Relias

MAY 1, 2022

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. Not communicating wound status to the responsible family member.

Education 98

Education Communication Long Term Care Medicaid 98

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.

Retirement 116

Retirement Nurse Shortage Leadership Medicaid 116

Relias

OCTOBER 25, 2021

The OT also is able to communicate the assessment findings and visit information to the entire home health agency team. With that approach, the OT is able to address activities crucial for client success on the first day and is able to initiate care in a timely manner. OTs Can Step Up and Coordinate Care.

Medicare 97

Medicare Holistic Care Medicaid Communication 97

American Medical Compliance

APRIL 17, 2024

Expand the Medicaid program to cover all adults with income below 138% of the FPL. Not all states have expanded their Medicaid programs. Title IV, which is overseen by the Federal Communications Commission (FCC), also mandates closed captioning for federally funded public service announcements.

Medicaid 52

Medicaid Health Insurance Professional Development Communication 52

American Medical Compliance

JANUARY 9, 2024

Through Medicare, Medicaid, and the Children’s Health Insurance Program, the federal government and state governments offer health care coverage to nearly 100 million individuals. This type of theft is just one example of healthcare fraud. trillion in 2015.

Medicare 52

Medicare Medicaid Health Insurance Communication 52

Healthcare Law Insights blog

APRIL 28, 2023

Due to the COVID-19 pandemic, emergency declarations, legislation, and regulatory waivers across government agencies, including the Centers for Medicare & Medicaid Services (CMS), allowed for flexibility in the delivery of care to patients, including the expanded use of telehealth. This exception ends with the PHE on May 11, 2023.

HIPAA 52

HIPAA Medicare Medicaid Telemedicine 52

American Nurse

JUNE 5, 2023

Safe, effective, and timely discharge requires good communication among the healthcare team, the patient, and the family. According to a study by Meo and colleagues, effective healthcare team member communication during daily rounds can help reduce length of stay by 21%. BMC Health Serv Res. 2019;19(1):935. December 1, 2021.

Medicare 98

Medicare Patient Satisfaction Patient Experience Medicaid 98

Amercan Journal of Nursing

AUGUST 19, 2024

Some current examples of issues that nurse advocates are working on through federal legislative change are workplace violence, mandatory overtime, faculty shortages, workforce development, and modernizing Centers for Medicare and Medicaid Services payment systems for nursing care.

APRN 74

APRN Mental Health Psychiatry Nurse Practitioner 74

Consult QD

MAY 8, 2023

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.

Best Practices 87

Best Practices Medicaid Medicare Communication 87

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.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

Consult QD

JULY 18, 2023

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3).

Medicare 91

Medicare Medicaid Business Emergency Care 91

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. ahrq.gov/cahps/surveys-guidance/index.html Centers for Medicare & Medicaid Services. Data transparency aids care quality improvement.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 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. Using currently established communication strategies to reinforce the use of the guide will help facilitate nursing comfort and sustain the practice. See Skin assessment guide.)

Clinical Nurse Specialist 98

Clinical Nurse Specialist Medicaid Medicare Communication 98

Health Leaders | Nursing

JULY 29, 2024

In terms of nursing, Woods argued that the lack of reimbursement communicates the lack of value for the work nurses do. For payers, Woods said, change would likely begin at the federal level with the Centers for Medicare and Medicaid Services (CMS). This would provide a model for other payers. "If

Nurse Practitioner 98

Nurse Practitioner Chief Nursing Officer Leadership Medicaid 98

Scrubs

JUNE 16, 2023

During one delivery, nurses struggled to communicate with an Afghan refugee who came from the nearby military post to give birth. Stressed-out nurses were using Google Translate to communicate with this woman in labor,” said Stacey Hummel, the maternity department manager. Margaret’s Health, and a shortage of staff.”

Military 74

Military Medicaid Resume Medicare 74

Relias

SEPTEMBER 22, 2023

In these scenarios, a care coordinator can: Communicate between multiple providers within the continuum of care, especially with a primary care physician. The care coordination trend goes by many names and has been seen across the continuum of care but has been most prevalent in the Medicaid world as part of the Health Home model.

Care coordination 52

Care coordination Mental Health Medicaid Communication 52

Minority Nurse

SEPTEMBER 30, 2024

Since nurses are natural patient advocates , they may find their friends, families, and patients complaining about these new ways to access care and communicate with providers. They may struggle to access their EHI, coordinate care, and communicate with providers. Where Did These Portals Come From? ”

Care coordination 52

Care coordination Health Outcomes Communication Medicaid 52

Scrubs

AUGUST 5, 2023

ACOs: Accountable Care Organizations (ACOs) were originally developed by the Centers for Medicare & Medicaid (CMS) to improve the quality of care for Medicare and Medicaid patients. This leads to increased efficiency, better results, and increased patient satisfaction.

Medicaid 52

Medicaid Medicare Patient Satisfaction Mental Health 52

Board Vitals - Nursing

AUGUST 30, 2016

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

Consult QD

DECEMBER 7, 2023

Once admitted, patients are set up at home with technology to enable transmission of biometric data, bidirectional communication, and coordination with the hospital’s Clinically Integrated Virtual Command Center (CIVC) located in Vero Beach. Rothman, noting they must live within a 30-mile radius of the hospital to participate.

Medicaid 57

Medicaid Medicare Communication Promotion 57

Healthcare Law Insights blog

OCTOBER 17, 2023

The hearing officer will communicate the decision, in writing, to all parties. 19 CSR 30-82.050(2)(A)-(F). What documentation is required before sending the notice of discharge? 19 CSR 30-82.050(4)(B). What happens after the appeal hearing? Once the hearing concludes, the hearing officer will evaluate the evidence and make a decision.

Long Term Care 59

Long Term Care Medicaid Medicare Communication 59

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 Medicaid Business Medicare 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.” 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

Scrubs

MAY 18, 2024

ER and urgent care nurses can mitigate these fears by being well-informed and empathetic communicators. Most healthcare facilities have protocols in place to assist uninsured patients in applying for emergency Medicaid or charity care programs, which can significantly reduce or even cover the cost of treatment.

Telemedicine 52

Telemedicine Medicaid Patient Advocacy Education 52

Minority Nurse

MARCH 29, 2023

Meet Esther Conteh, BSN, MSN, Associate Vice President, Care Management at VNS Health, overseeing clinical care of VNS Health CHOICE Medicaid Advantage Plus (MAP) , and Medicaid Managed Long-Term Care (MLTC) plans. Throughout the pandemic, it’s been amazing to see how telemedicine has transformed how we communicate and deliver care.

Long Term Care 52

Long Term Care Medicaid Medicare APRN 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

University of St. Augustine for Health Sciences

DECEMBER 15, 2023

According to a survey conducted by Doximity, more than 83% of surveyed physicians expressed that telemedicine had proven valuable in improving the ongoing care for patients with complex or chronic conditions, while 65% noted it enhanced communication with their patients. At the University of St. What Does Virtual Healthcare Look Like?

Telemedicine 52

Telemedicine Communication Medicaid Medicare 52