Healthcare Law Insights blog

FEBRUARY 27, 2025

This FCA action is a notable reminder to healthcare providers that they must be careful in representations they make to the government. Two years later, in 2022, the defendant was charged with and pled guilty to Medicaid fraud. That is a catastrophic consequence for a Medicaid-related crime that netted $146,000.

Medicaid 52

Medicaid Self-Care Business 52

American Medical Compliance

APRIL 24, 2024

The following Anti-Kickback Statute and Physician Self-Referral Law (Stark Law) Training educates healthcare providers on the provisions of the Anti-Kickback Statute and Stark Law. Consequently, the healthcare compliance statute covers any item that federal health care programs pay for.

Medicaid 52

Medicaid Medicare Self-Care Federal healthcare 52

American Nurse

JUNE 3, 2024

adults have received a diagnosis of autism spectrum disorder (ASD) Many clinical nurses don’t have the knowledge needed to customize patient-centered care to meet the individual needs of adults with ASD. Many organizations lack the resources to support clinical nurses in identifying adults with ASD and implementing appropriate care.

Communication 111

Communication Medicare Self-Care Mental Health 111

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. Advance directives are legal documents that allow adults to record their wishes related to serious illness or end-of-life care.

Self-Care 59

Self-Care Medicaid Medicare Nurse Practitioner 59

American Nurse

JULY 2, 2024

Kim King Kim King, MSN, FNP-C, who consults on cannabis care through her business, Thrive to Care and Wellness Education Consulting, hopes to see cannabis education added to nursing program curricula in the next 5 years. We’ve got to educate all nurses, from LPNs to RNs to APRNs,” she said. It needs to go further,” she said.

Business 105

Business Education Nurse Practitioner Self-Care 105

American Nurse

SEPTEMBER 18, 2024

ANA-NY member delegate candidates submit self-nominations during the annual ANA-NY elections. You might want to consider this—it is a wonderful opportunity to enrich your understanding of national nursing and health care issues. Improving Care and Access to Nurses (ICAN) (H.R. Improving Care and Access to Nurses (ICAN) (H.R.

APRN 52

APRN Long Term Care Medicaid Medicare 52

American Nurse

OCTOBER 4, 2023

Early counseling and intervention in ambulatory care settings, via risk assessment screening for early detection, can help reduce modifiable ASCVD risks. An estimated 34 million Americans, age 18 years and older, have diabetes, most with type 2 diabetes (T2DM) as well as a high risk for cardiovascular disease (CVD). See Risk assessment tools.)

Health Literacy 98

Health Literacy Self-Care Education Medicaid 98

American Nurse

FEBRUARY 16, 2024

It is caring for an individual with a disability, acute condition, or chronic illness and helping them reach their maximum potential and function or adapt to the new physical or neurological challenges they are facing. In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP).

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Minority Nurse

MARCH 19, 2024

Virtual nurses may work from behind computer screens, but their impact is felt throughout healthcare as their expertise is increasingly integrated into patient care and nursing workflows. They now support clinical teams throughout the patient care continuum to help ease the overwhelming demands and address serious healthcare issues.

Chief Nursing Officer 59

Chief Nursing Officer Bedside nursing Clinical Nurse Specialist Telemedicine 59

Relias

FEBRUARY 26, 2024

What is care coordination? Coordination of care is the process of organizing and integrating health care services for patients across care settings and providers. It is especially important for patients with complex or chronic conditions, multiple comorbidities, or transitions of care.

Care coordination 52

Care coordination Patient Satisfaction Self-Care Emergency Care 52

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Long‐term acute care hospitals. Short-term acute care hospitals. We all love free tools that help our organizations perform better. Home health agencies. Critical access hospitals.

Medicare 52

Medicare Medicaid Self-Care Education 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. This measure also includes two aggregate measures, which are called total normalized composite (TNC) self-care and TNC mobility.

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.” While this behavior may boost satisfaction ratings, it can also jeopardize quality of care.

Patient Satisfaction 52

Patient Satisfaction Patient Experience Medicare Self-Care 52

American Nurse

FEBRUARY 16, 2024

Many patients to whom nurses provide care have a chronic condition. Therefore, the nurse’s plan of care must be flexible to accommodate the changing presentation of the condition and how it is affected by aging, the environment (including nutrition), and whether there is the presence of other conditions. some cancers).

Mental Health 52

Mental Health Self-Care Clinical Nurse Specialist Medicaid 52

American Nurse

SEPTEMBER 5, 2024

NURSES IN MISSOURI must be able to assess a client’s ability to perform activities of daily living including preventative oral care (Registered Nursing.Org, 2024 ). The oral care plan should meet oral care standards and educate about various methods, safety measures, and the use of assistive devices to facilitate self-care hygiene.

Medicare 52

Medicare Promotion Self-Care Communication 52

Consult QD

JUNE 16, 2023

Many laboratories have alternative options for low-cost or no-cost testing that do not involve a third-party sponsor and have financial assistance programs (based on a sliding income-based scale) and laboratory billing policies (such as no balance-billing for those with Medicaid). Front Neurol 2021; 12:663911. Suther S, Kiros G-E.

Pharmaceutical 52

Pharmaceutical Medicaid Patient Advocacy Self-Care 52

American Nurse

MAY 1, 2023

Takeaways: Four significant factors compromise care for Native American elders: healthcare disparities, historical trauma, healthcare shortages afflicting rural areas and reservations, and a lack of culturally appropriate care in long-term care facilities. population, Tribal nations require local, high-quality specialty care.

Long Term Care 98

Long Term Care Chief Nursing Officer Self-Care Senior Living 98

Relias

OCTOBER 18, 2022

Pronounced JAH-PIE-GO, the organization has worked to help low and middle-income countries advance maternal care since its founding in 1973. Jhpiego’s work with midwives abroad highlights differences among countries yet reveals commonalities applicable to maternal care both domestically and internationally.

Self-Care 52

Self-Care Medicaid Education Health Outcomes 52

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.

Self-Care 40

Self-Care Health Literacy Medicare Home Healthcare 40

Relias

OCTOBER 10, 2022

As a post-acute care provider, you need to prove that your organization meets the expected standard of care, safety, and other compliance and regulatory requirements. Quality of care and the environment of care that your organization provides are most important for surveyors. Quality care and optimal clinical outcomes.

Medicaid 52

Medicaid Medicare Self-Care Licensing 52

Relias

MARCH 13, 2023

Regular compliance audits help organizations provide the most efficient, effective patient care. Formerly, hospitals did not disclose the price of individual services to patients before they received care. Even providers administering care sometimes didn’t know exactly how much a procedure or service would cost.

Medicare 52

Medicare Medicaid Self-Care Best Practices 52

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Ensuring that behavioral health and medical documentation are in the same system can help integrate and improve care.

Medicaid 40

Medicaid Mental Health Health Insurance Medicare 40

American Nurse

DECEMBER 8, 2023

Expiration: 12/1/26 Sandra Long*, a 72-year-old woman, is admitted to the emergency department from a long-term care facility for fever, poor oral intake, new-onset confusion, foul-smelling urine, and incontinence. In the acute care setting, a clean-catch urinalysis sample is preferred for UTI diagnosis. See UTI risk factors.)

Best Practices 82

Best Practices Self-Care Long Term Care Medicaid 82