American Medical Compliance

AUGUST 29, 2024

By participating in the MSSP, healthcare providers can work collaboratively with community resources to develop comprehensive care plans that address the medical, social, and emotional needs of seniors, promoting independence and enhancing their quality of life.

Medicaid 98

Medicaid Medicare Care coordination Communication 98

Minority Nurse

OCTOBER 7, 2022

Organizations should strive to be reliable, not perfect, and provide an atmosphere that includes and promotes systems that catch mistakes before they reach the patient. Promote transparency of the investigative process and promote legal support for nurses who may be held individually accountable. What Every Nurse Can Do .

Self-Care 105

Self-Care Promotion Medicaid Medicare 105

Relias

APRIL 28, 2023

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. Caregivers can take action to prevent pressure sores in older clients and avoid negative outcomes that can follow.

Medicare 98

Medicare Long Term Care Medicaid Promotion 98

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

Capitol Beat

JANUARY 4, 2024

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). CMS is strengthening the Medicare Diabetes Prevention Program (MDPP) , which ANA supports.

APRN 73

APRN Medicare Long Term Care Medicaid 73

Capitol Beat

FEBRUARY 28, 2025

Additionally, we are currently working with allies in the health care community to defend Medicaid to ensure that our most vulnerable patient populations have access to health care providers, such as trusted nurses. Bolstering access to APRNs only serves to increase health care access, especially for our most vulnerable patient populations.

APRN 45

APRN Medicare Medicaid Preceptors 45

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. False Claims Act Firstly, the False Claims Act is a federal law that imposes liability on individuals and companies that defraud governmental programs by sending false claims for payment.

HIPAA 105

HIPAA Self-Care Health Insurance Best Practices 105

Council of Public Health Nursing Organizations

MARCH 8, 2024

Hospitals within a rural area with not more than 50 beds or that closed after December 27, 2020, can seek designation as a REH as long as they meet the conditions of participation to participate in Medicare and Medicaid programs. Centers for Medicare & Medicaid Services. Rural Hospital Closures. Government.

Medicaid 52

Medicaid Medicare Emergency Care Promotion 52

Minority Nurse

NOVEMBER 13, 2023

Once I understood the role of nurses and patient advocacy, the ability to share health information and care for people and promote health and wellness, that was my epiphany. There are many outdated laws or policies, particularly Medicare and Medicaid. It took me a while to come to that decision on my own.

Nurse Practitioner 116

Nurse Practitioner Medicaid Medicare Leadership 116

American Medical Compliance

MARCH 13, 2023

Many of these individuals targeted elderly patients who receive Medicare benefits. Others controlled telemarketing schemes in order to target elderly Medicare patients to consent to tests by misleading and deceiving them. The Centers for Medicare & Medicaid Services investigates these cases and prioritizes protecting patients.

Medicare 52

Medicare Telemedicine Medicaid Promotion 52

American Nurse

JULY 5, 2023

The Centers for Medicare and Medicaid Services (CMS) provides federal oversight of care quality in all U.S. hospitals that receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8

Medicaid 52

Medicaid Medicare Promotion Leadership 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. If pieces are missing, your legal foundation could crumble. Aware of Wound Care Liability Risks.

Education 98

Education Communication Long Term Care Medicaid 98

American Nurse

SEPTEMBER 13, 2024

2713): The ICAN Act removes outdated Medicare and Medicaid practice barriers placed on Advanced Practice Registered Nurses (APRN’s), promoting patient access to healthcare services delivered by their provider of choice. Improving Care and Access to Nurses (ICAN) Act (S.

Long Term Care 52

Long Term Care Medicaid Mental Health Medicare 52

Capitol Beat

DECEMBER 6, 2022

Recently, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) entitled Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs. In sharing provider experiences, ANA made sure to promote nurse and patient wellbeing and safety issues in its comments.

APRN 52

APRN Medicaid Medicare Licensing 52

Capitol Beat

NOVEMBER 4, 2022

The ICAN Act would remove unnecessary and outdated barriers to providing care for APRNs across the country so they can better care for their patients who are enrolled in Medicare and Medicaid programs. Nurse Advocates at the Capitol promoting the ICAN Act. Nurse Advocates stand with Rep.

APRN 52

APRN Medicaid Medicare Mental Health 52

American Nurse

SEPTEMBER 20, 2024

This legislation aims to remove Medicare and Medicaid barriers, allowing Advanced Practice Nurses to practice to the full extent of their training and education. To enhance equitable healthcare for all Marylanders and Americans, nurses in Maryland can support the Improving Care and Access to Nurses (ICAN) Act.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

Relias

APRIL 18, 2022

Promoting a culture of knowledge and awareness of current standards of wound care. Promote a Culture of Knowledge and Awareness. Medicare payment models in skilled nursing and home health provide incentives for clinicians to be well versed in specialty areas such as skin and wound care. Build Your Reputation as a Specialist.

Education 52

Education Medicare Promotion Medicaid 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). 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

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. As nurses develop rapport with patients, they can help introduce the topic of advance care planning and promote advance directive completion.

Self-Care 59

Self-Care Medicaid Medicare Nurse Practitioner 59

Consult QD

DECEMBER 7, 2023

Developed in the United States in the mid-1990s, the care model gained traction when the Centers for Medicare and Medicaid Services (CMS) launched the Acute Hospital Care at Home program in November 2020 in response to the COVID-19 pandemic.

Medicaid 57

Medicaid Medicare Communication Promotion 57

Capitol Beat

SEPTEMBER 23, 2022

Our work in the last few months is an illustration, with ANA’s policy team submitting comment letters to the Centers for Medicare and Medicaid Services (CMS). These comments were in response to CMS’ request for information and other proposed provisions in several of the annual Medicare payment rules.

Medicare 40

Medicare Medicaid Health Outcomes Promotion 40

American Nurse

MARCH 6, 2024

Improve care, promote the profession Nurses play a key role in patient education, medication management, and prevention of negative health outcomes. Nurse-led QI projects offer opportunities to improve patient care and promote the nursing profession. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

Relias

MARCH 12, 2025

For example, the Centers for Medicare and Medicaid Services (CMS) mandate facility assessments in long-term care facilities to ensure that staff competencies align with the needs of the patient population. Additionally, accrediting bodies emphasize the importance of competency verification as part of their quality standards.

Long Term Care 40

Long Term Care Medicaid Medicare Patient Satisfaction 40

Consult QD

MAY 11, 2023

Additionally, hospitals are not reimbursed by the Centers for Medicare & Medicaid Services for costs associated with sternal wound infections, so these infections can have a negative financial impact. The team’s report also gives guidance to help hospitals sustain their newly implemented processes and promote ongoing improvement.

Medicaid 52

Medicaid Medicare Promotion Best Practices 52

Minority Nurse

SEPTEMBER 30, 2024

Non-compliance results in hefty fines of up to $1 million per violation, as enforced by the Office of the Inspector General (OIG)​ ( Centers for Medicare & Medicaid Services )​​. This has enhanced patient involvement and control over their healthcare decisions, promoting greater transparency and engagement.”

Care coordination 52

Care coordination Health Outcomes Communication Medicaid 52

Every Nurse

JUNE 24, 2023

Hospital readmissions due to falls can result in penalties under Medicare and Medicaid programs. This can involve reminding patients to use assistive devices, reminding them to call for assistance before getting out of bed or walking unassisted, and participating in fall prevention exercises that promote strength and balance.

LPN 52

LPN Mental Health Communication Medicaid 52

American Nurse

SEPTEMBER 5, 2024

Missouri skilled nursing facility residents (N=253) reported that 49% of residents rely on staff to clean their mouth, many have no Medicare dental coverage, and Medicaid covers a limited number of dental services (The Oral Health of Adults, 2022). Participant #1 states promoting prophylaxis and twice-yearly preventative treatment.

Medicare 52

Medicare Self-Care Promotion Communication 52

University of St. Augustine for Health Sciences

DECEMBER 15, 2023

Decreases Spread of Infectious Diseases Telehealth has shown evidence of significantly reducing the spread of COVID-19 and has a direct impact on decreasing the infection rate, including monitoring symptoms and promoting physical distance. 11 What Does the Future of Virtual Healthcare Look Like?

Telemedicine 52

Telemedicine Communication Medicaid Medicare 52

American Nurse

FEBRUARY 16, 2024

Social media has had a negative impact by comparing one person to another, allowing cyberbullying, promoting a lack of respect for others and the property of others, and shaming individuals because of their speech or altered coordination. National Center for Chronic Disease Prevention and Health Promotion. Chronic Diseases in America.

Mental Health 52

Mental Health Self-Care Clinical Nurse Specialist Medicaid 52

American Nurse

APRIL 2, 2024

ANA considers these numbers a first step toward direct reimbursement for nursing services from Medicare and Medicaid. health.gov/healthypeople Promote access to care at ANA’s advocacy website: RNAction.org RNs and advanced practice RNs are eligible for NPIs, which remain valid when nurses move to other states. January 31, 2024.

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. It’s noteworthy that the 2024 Final Rule expanded the definition of covered entities to include providers receiving Medicare Part B payments, marking a significant shift from previous interpretations.

Medicare 59

Medicare Medicaid Health Insurance Patient Satisfaction 59

American Nurse

JUNE 7, 2023

In addition to having strong population health knowledge and skills, nurses must also demonstrate confidence working autono­mous­ly, collaboratively, and innovatively as they lead in promoting community and population health. Some in the nursing profession see this focus as new, but population health isn’t new to nursing. Nearly 840 U.S.

Medicare 116

Medicare Health Insurance Promotion Nurse Practitioner 116

Amercan Journal of Nursing

OCTOBER 19, 2023

On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. In the past, this has come through mechanisms such as wage pass throughs and Medicaid Incentive Payment Programs.

Long Term Care 96

Long Term Care LPN Medicaid Licensing 96

IntelyCare

MAY 1, 2024

Nearly eight months have passed since The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to set minimum staffing standards for nursing homes. Others were concerned that the minimal standards didn’t go far enough to promote safer care. The dust has settled — for now.

Long Term Care 101

Long Term Care Licensing Medicaid Medicare 101

American Nurse

JANUARY 3, 2024

The Centers for Medicare and Medicaid Services (CMS) worked with purchasers, physicians, healthcare organizations, and consumers to identify evidence-based process measures (core measures) to reduce morbidity, mortality, variability, and cost while improving quality outcomes. Several recent developments aim to address these issues.

Chief Nursing Officer 52

Chief Nursing Officer Medicare Medicaid Best Practices 52

Scrubs

JUNE 21, 2023

If federal agencies like the Centers for Medicare & Medicaid Services paid more for more safely and efficiently produced drugs, it would promote a more stable supply chain, he said. “At Sardella and others have proposed government subsidies to get U.S. generics plants running full time. Their capacity is now half-idle.

Pharmaceutical 74

Pharmaceutical Medicaid Medicare Business 74

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. Home health care.

Self-Care 40

Self-Care Health Literacy Medicare Home Healthcare 40