American Medical Compliance

AUGUST 29, 2024

Participants will learn about best practices in caregiving, communication strategies, and techniques to ensure safety, dignity, and improved quality of life for seniors and individuals with disabilities. It can lead to communication difficulties, social isolation, and decreased cognitive function if left unaddressed.

Medicaid 98

Medicaid Medicare Care coordination Communication 98

Relias

OCTOBER 25, 2021

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare 97

Medicare Holistic Care Medicaid Communication 97

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

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

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

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

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

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

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

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. Medicare 1. Reimbursement A.

HIPAA 52

HIPAA Medicare Medicaid Telemedicine 52

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. Recording the person’s stated weight as actual body weight.

Education 98

Education Communication Long Term Care Medicaid 98

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 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

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This wastes taxpayer money and interferes with your medical care. trillion in 2015.

Medicare 52

Medicare Health Insurance Medicaid Communication 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.

Retirement 116

Retirement Nurse Shortage Leadership Medicaid 116

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 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

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings.

Medicare 52

Medicare Medicaid Staff Training Home Healthcare 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

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

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

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. Facilitate difficult conversations and support patient decision making. See Patient self-determination.

Self-Care 59

Self-Care Medicaid Medicare Nurse Practitioner 59

Relias

JANUARY 8, 2024

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. Communicating consistently — Patients want to be informed. In 2019, $1.9

Patient Satisfaction 52

Patient Satisfaction Medicare Patient Experience Professional Development 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

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

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. Communication. Meanwhile, patient outcomes improved in HHVBP states when compared to non-HHVBP states. million decrease. Ambulation.

Medicare 52

Medicare Self-Care Medicaid Education 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.” The data is then tabulated to create the HCAHPS score.

Patient Satisfaction 52

Patient Satisfaction Patient Experience Medicare Self-Care 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 Medicaid Business Medicare 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. Working with our MLTC (Managed Long Term Care) and Medicare members requires skill, empathy, and patience.

Long Term Care 52

Long Term Care Medicaid Medicare APRN 52

Nurse.com

APRIL 22, 2023

They needed to understand the why,” said Marie Wilson, RN, MSN, CIC, Chairperson of the Communications Committee for the Association for Professionals in Infection Control and Epidemiology and an infection preventionist in Seattle, Washington. According to 2023 data from the Centers for Medicare & Medicaid Services website, more than 1.5

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

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

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. What is care coordination? Deliver high-quality care that is consistent with the best evidence-based standards of practice.

Care coordination 52

Care coordination Patient Satisfaction Self-Care Emergency Care 52