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Implications of Health Systems Losing their Non-Profit Status

Emerging RN Leader

Sherman, EdD, RN, NEA-BC, FAAN Health systems are facing serious headwinds this year with potential cuts to Medicare, Medicaid, and the federal subsidy of health exchanges. A declining economy also threatens the jobs of a significant number of workers in the US and, with it, their health insurance.

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Business Planning: Not Just For Startups

Nurse Practitioners in Business

For example, a practice might be able to respond quicker to new Medicare rules since potential threats were identified earlier through the business planning process. Communication: a business plan is a tool for better communication. Finances: business planning is critical for budgeting and financial management.

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How to Conduct Effective Compliance Audits 

American Medical Compliance

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

HIPAA 105
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Medicare Care Compare: Publicly reported performance measures

American Nurse

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. Medicare, the largest payer of medical expenses in the United States, provides primary health insurance for more than 60 million beneficiaries.

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Navigating the 7 Ethical Dilemmas in Hospice Care

The Nursing Site

Nurses working in hospice care must establish open lines of communication with patients and their families, allowing them to express their preferences regarding the disclosure of information. Encouraging open communication, empathy, and ethical decision-making can help resolve these dilemmas.

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Comprehensive Case Management Training for Healthcare Professionals

American Medical Compliance

What You Will Learn: Specific duties of case managers Stages of the case management process Ethical issues that arise in case management Communication skills essential for case management Using interdisciplinary collaboration to enhance case management outcomes Details: Course length: 2 hours and 15 minutes; CME: 2.25

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A True Example of Patient Engagement

Nurses Advocates

’ Another challenge we learned is that Medicare requires a three-day stay to pay for the Rehab admission. This would not work in Nancy’s case, as she was alone, but there was little we could do before the surgery. Nancy made some tentative arrangements ‘just in case.’