Capitol Beat

SEPTEMBER 25, 2024

Starting each Spring, the Centers for Medicare & Medicaid Services (CMS) begins its annual rulemaking process to determine payment for Medicare services by provider type. Comments on the last proposed rule of the 2025 Medicare payment rulemaking cycle were submitted to CMS in early September.

Medicare 83

Medicare APRN Medicaid Mental Health 83

American Medical Compliance

FEBRUARY 15, 2025

Title XVIII, commonly known as Medicare, provides health coverage for individuals aged 65 and older. Title XIX, better known as Medicaid, offers health coverage for low-income individuals and families, including children and those with disabilities. In this course, we delve into the intricacies of both Medicare and Medicaid.

Medicare 52

Medicare Medicaid Federal healthcare Retirement 52

Health Leaders | Nursing

JANUARY 7, 2025

Pillar: CNO Image: Tags: DEI government Medicare/Medicaid nurses nursing Secondary Pillars: CNO Article Type: Analysis Published Date: Tuesday, December 17, 2024 Hide sidebars: Render small main image: Tune in to hear her insights.

Medicaid 52

Medicaid Medicare 52

Health Leaders | Nursing

JULY 10, 2024

The Supreme Court's decision will impact patients receiving care through Medicare, Medicaid, and CHIP. According to the brief, approximately 65 million Americans receive healthcare coverage through Medicare, while Medicaid and CHIP cover 90 million low-income children and adults and seniors with disabilities.

Medicaid 118

Medicaid Medicare Health Insurance Healthcare Laws 118

American Medical Compliance

OCTOBER 25, 2024

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

HIPAA Medicaid Health Insurance Best Practices 105

Health Leaders | Nursing

SEPTEMBER 11, 2023

of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. Nearly 90% of NPs are certified in an area of primary care and 70.3%

Nurse Practitioner 144

Nurse Practitioner APRN Medicare Medicaid 144

American Nurse

SEPTEMBER 5, 2024

MEDICARE IS A CRITICAL PILLAR in the vast healthcare landscape, supporting millions of Americans, including a substantial segment of Kansas’s population. For nurses across the state, understanding Medicare’s intricacies is beneficial and essential for providing comprehensive care.

Medicare 52

Medicare Health Insurance Holistic Care Medicaid 52

Daily Nurse

JULY 27, 2023

This legislation would strengthen healthcare access for Medicare and Medicaid beneficiaries by removing federal barriers to practice for nurse practitioners (NPs) and other advanced practice registered nurses (APRNs). Merkley (D-OR) and Lummis (R-WY) for introducing the Improving Care and Access to Nurses (ICAN) Act in the U.S.

Medicare 97

Medicare Medicaid APRN Nurse Practitioner 97

American Nurse

SEPTEMBER 6, 2024

For Nebraska nurses, proficiency in Medicare can significantly amplify their ability to serve and support the diverse needs of patients navigating the complexities of healthcare coverage. This article aims to shed light on the importance of Medicare fluency among nurses and provide actionable insights to elevate patient care in New Jersey.

Patient Advocacy 52

Patient Advocacy Medicare Medicaid Health Insurance 52

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. In addition to informing patients, public reporting can drive providers to improve performance.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 52

Daily Nurse

JUNE 30, 2023

NPs provide high-quality healthcare to Medicare and Medicaid patients across all geographic areas and healthcare settings. NPs provide high-quality healthcare to Medicare and Medicaid patients across all geographic areas and healthcare settings. The ICAN Act is improving care and access to nursing.

Medicare 98

Medicare Medicaid APRN Nurse Practitioner 98

Daily Nurse

FEBRUARY 18, 2025

To hold hospitals accountable, the researchers encourage the Centers for Medicare and Medicaid Services (CMS) to consider establishing regulatory standards for nurse staffing as part of their “Birthing-Friendly” designation for high-quality maternity care.

Clinical Nurse Specialist 52

Clinical Nurse Specialist Medicaid Medicare 52

Minority Nurse

NOVEMBER 13, 2024

That includes advocating for legislation to improve federal employees’ timely access to healthcare for workplace injuries and removing Medicare and Medicaid barriers on NPs and other advanced practice registered nurses. A new study from the AANP supports granting greater access to NPs for patient care.

Nurse Practitioner 59

Nurse Practitioner Medicaid Medicare Licensing 59

Health Leaders | Nursing

FEBRUARY 24, 2023

The recent bipartisan Save America’s Rural Hospitals Act includes a provision to permanently remove physician supervision of Certified Registered Nurse Anesthetists (CRNAs), under Medicare Part A conditions of participation. This legislation would permanently end Medicare cuts that have devastated small-town hospitals,” said U.S.

Medicaid 105

Medicaid Medicare 105

Capitol Beat

FEBRUARY 28, 2023

Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. Some of these waivers had previously expired, but ANA is still advocating to change the law and make them permanently part of the Medicare program. The main waivers are: Physician Services.

APRN 101

APRN Medicaid Medicare Resume 101

American Medical Compliance

AUGUST 7, 2024

CMS (Centers for Medicare & Medicaid Services) These regulations provide essential guidelines for healthcare providers participating in Medicare and Medicaid programs. After all, a safe workplace contributes to better staff performance and higher patient satisfaction.

HIPAA 105

HIPAA Medicaid Medicare Legal Issues 105

American Medical Compliance

FEBRUARY 19, 2025

The CMS Interim Final Rule The Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFC) to implement section 6052 of the Deficit Reduction Act of 2005 (DRA). As a result, this rule guides how Medicaid will reimburse for case management services.

Medicaid 52

Medicaid Professional Development Medicare Communication 52

American Nurse

SEPTEMBER 27, 2023

Despite the evils of the pandemic, one important change was the expansion of private insurance reimbursement for telehealth services as well as Medicare and Medicaid expansion to reduce previously prohibitive barriers of telehealth services. References Centers for Medicare & Medicaid Services. March 17, 2020.

Medicare 116

Medicare Telemedicine Medicaid Communication 116

Healthcare Law Insights blog

NOVEMBER 22, 2022

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

Medicare 52

Medicare Medicaid Mental Health 52

Health Leaders | Nursing

SEPTEMBER 5, 2023

of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. Medicare is about 46% and Medicaid is about 14%.

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

Nurse Practitioners in Business

APRIL 12, 2024

Navigating the credentialing process in a timely manne r so you can accept commercial insurance and Medicare/Medicaid. Creating positive patient experiences, from scheduling appointments to follow-up care, to grow the practice. Implementing effective financial and operational systems that will be followed consistently.

Starting a Practice 195

Starting a Practice Nurse Practitioner Business Malpractice 195

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

Nurses Advocates

MAY 15, 2023

In talking to my patient about his benefits, I learned he was on Social Security Disability and was enrolled in Florida Medicaid. I knew that he could get on a program called Long Term Florida Medicaid that would pay a small amount to his sister for taking care of him and providing equipment and other supplies he would need.

Medicaid 105

Medicaid Medicare Nurse Case Manager 105

Minority Nurse

MAY 19, 2023

for the most vulnerable childbearing populations, including Black mothers and those insured by Medicaid. Recent data show that patients at high risk for severe maternal complications are more likely to give birth in teaching hospitals and have Medicaid as their insurer. Nurses play a central role in the 3.6 million births in U.S.

Medicaid 98

Medicaid Clinical Nurse Specialist Medicare Health Outcomes 98

Scrubs

MAY 5, 2023

HHS threatened to take away the system’s Medicaid/Medicare funding if the hospital doesn’t extinguish the flame, and now Saint Francis is suing to keep the candle lit. The TJC is an independent accrediting organization whose findings are often used to meet conditions for Medicaid and Medicare certification with HHS.

Medicaid 98

Medicaid Medicare 98

Capitol Beat

FEBRUARY 26, 2024

The NPI is a unique provider number assigned by the Centers for Medicare and Medicaid Services (CMS). An NPI is required to bill Medicare, Medicaid, and many private insurers. It is beyond time to push health care financing systems to pull nursing services out from behind physician and other charges.

Medicaid 86

Medicaid Medicare APRN Health Outcomes 86

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

Daily Nurse

MARCH 9, 2023

the study also showed that compared with anesthesiologists, CRNAs are more likely to work in areas with lower median incomes and larger populations of citizens who are unemployed, uninsured and/or Medicaid beneficiaries. Of importance to implementing public benefit programs in the U.S., Representative on this issue are available here.

Medicaid 105

Medicaid Medicare Health Outcomes 105

American Medical Compliance

MARCH 21, 2025

The Centers for Medicare and Medicaid Services defines transitions of care as the movement of a patient between different healthcare settings, such as from ambulance to emergency department, from intensive care unit (ICU) to medical ward, or from hospital to home.

Communication 52

Communication HIPAA Medicaid Medicare 52

Nurse.com

JULY 18, 2022

Another clear barrier to care is economic — many physicians are unable to accept Medicaid, while many Americans on Medicare struggle to find primary care physicians and specialists accepting new patients. Education to Become a Nurse Practitioner.

Nurse Practitioner 105

Nurse Practitioner Bedside nursing Medicaid Medicare 105

Daily Nurse

JULY 18, 2023

Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia examines data from a large, geographically diverse sample of patients enrolled in Medicare Advantage (MA) plans.

Medicare 98

Medicare Medicaid 98

The Relentless School Nurse

FEBRUARY 27, 2025

Kennedy’s confirmation hearings were marked by intense scrutiny over his views on vaccines, with senators questioning his understanding of essential health programs like Medicaid and Medicare. Despite his public global anti-vax stance, Kennedy acknowledged during the hearings that vaccines have saved millions of lives.

Medicaid 45

Medicaid Medicare Promotion 45

American Nurse

MARCH 13, 2024

A recent JAMA Network study found that sick people 85 and older were less likely than younger Medicare patients to get covid therapies like Paxlovid. In fact, the drug is still free for those who are uninsured or enrolled in Medicare, Medicaid, or other federal health programs, including those for veterans.

Medicare 111

Medicare Medicaid Senior Living Long Term Care 111

IntelyCare

SEPTEMBER 3, 2024

IntelyCare benefits include: Medical, Dental, & Vision Insurance Access to Retirement Benefits Workers’ Compensation & Professional Liability Insurance Employer Paid Taxes DailyPay & Weekly Direct Deposit Guaranteed Pay on Cancelled Shift Unlimited Bonuses and Holiday Pay Medical & Dental Coverage via The American Worker Program (..)

Malpractice 98

Malpractice Retirement Medicaid Medicare 98

American Medical Compliance

AUGUST 29, 2024

New CMS Initiatives to Enhance Resident Care The Centers for Medicare & Medicaid Services (CMS) is introducing four new initiatives aimed at improving the quality of care for residents.

Medicaid 98

Medicaid Medicare Care coordination Communication 98

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.

Telemedicine 73

Telemedicine Medicaid Medicare Licensing 73

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