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

American Medical Compliance

APRIL 17, 2024

The following Understanding Medicare Training educates healthcare providers and patients on the purpose of the Medicare program in the United States. Medicare is the federal health insurance program for people aged 65 or older, certain younger people with disabilities, and also people with End-Stage Renal disease.

Medicare 52

Medicare Health Insurance Professional Development Continuing Education 52

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

Health Leaders | Nursing

AUGUST 5, 2024

Pillar: CNO Link: Full story Article Source: MSN.com Tags: home health Medicare nurse practitioner nurses nursing Secondary Pillars: CNO Article Type: News Published Date: Monday, August 5, 2024 Hide sidebars: Render small main image:

Medicare 102

Medicare Nurse Practitioner 102

Nurses Advocates

SEPTEMBER 30, 2024

Whether you are on Medicare or a Medicare Advantage program, open enrollment allows you the opportunity to review your plan and make necessary changes so you are prepared for “What Ifs’ To confuse things more, Medicare open enrollment is also known as the annual election period (AEP) or yearly coordinated election period.

Medicare 52

Medicare 52

Elder Care Matters

NOVEMBER 2, 2022

Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023. That’s welcome news for seniors living on a fixed income and struggling with dramatic price increases on, well, everything.

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Medicare Senior Living Medicaid Long Term Care 93

American Nurse

JUNE 13, 2024

Medicare is a federal program that provides health insurance to retired individuals, regardless of their medical condition, and some younger people with disabilities or certain health conditions. You can receive Medicare coverage either by enrolling in Original Medicare or a Medicare Advantage Plan (typically an HMO or a PPO).

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Medicare Long Term Care Health Insurance Retirement 40

Elder Care Matters

AUGUST 12, 2024

Discover essential tips for navigating Medicare to maximize your benefits. Learn how to integrate Medicare into your estate planning and long-term financial strategies to ensure effective elder care. Explore key insights on enrollment, plan selection, cost management, and preventive services.

Medicare 52

Medicare Long Term Care Retirement 52

Elder Care Matters

MAY 2, 2022

I’m often surprised how many people are shocked to learn that Medicare and Supplemental Insurance does not cover Long-Term care costs. Medicare and Supplemental… The post Does Medicare and Supplemental Insurance Pay for Long-Term Care? appeared first on Elder Care Directory - ElderCareMatters.com.

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Long Term Care Medicare Retirement 98

Health Leaders | Nursing

JANUARY 12, 2024

A congressional advisory panel is recommending that lawmakers reduce Medicare payments to nursing homes, home health agencies, and inpatient rehabilitation facilities in 2025.

Medicare 52

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

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 52

Nursing Review

JANUARY 30, 2023

The government's medicare overhaul could give nurses a more prominent role in diagnosing and prescribing medication for patients in healthcare settings. Health Minister Mark Butler established the 'Strengthening Medicare Taskforce' in July last year to design a new model of a 'modernised Medicare.'

Medicare 52

Medicare 52

Nursing Review

OCTOBER 30, 2023

Existing Canberra walk-in health clinics will be able to treat a wider range of conditions through merging with new Medicare Urgent Care Clinics (Medicare UCCs). The scheme will be joint funded by the ACT government and will attract an extra $7.1m in federal government funding over three years to the sites from early 2024. “We

Medicare 52

Medicare Nurse Practitioner Long Term Care 52

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

Nurse Practitioners in Business

FEBRUARY 1, 2023

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. But for NPs, is it really? That the rule had always taught me that NPs could not opt for “non-participating” provider status.

Medicare 221

Medicare Nurse Practitioner APRN Business 221

The Nursing Site

MARCH 18, 2024

The hospital, Vanderbilt University Hospital, neglected to report the Sentinel Event (death) to Medicare and consequently filed no Plan of Correction which led to a renewed focus on the event as possible Medicare fraud. Protocols were ignored.

Medicare 203

Medicare Licensing Nurse Educator Education 203

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.

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Medicaid Medicare Health Insurance Healthcare Laws 118

Nurse Practitioners in Business

MARCH 22, 2024

You must submit self-employment taxes, comprised of Social Security and Medicare taxes, to the IRS at set intervals (four times) during the year. You will also pay payroll taxes, which are comprised of Social Security and Medicare taxes, on your salary.

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Business Medicare Nurse Practitioner Private Practice 195

Nurse Practitioners in Business

FEBRUARY 24, 2024

The most significant growth in those needing healthcare is the geriatric population, and most of them will have Medicare and seek providers accepting Medicare. (By By the way, all providers, by law, must accept Medicare unless they intentionally and formally opt out.

Medicare 195

Medicare Starting a Practice Business HIPAA 195

Nurse Practitioners in Business

OCTOBER 5, 2023

Topic Resources Start your practice with a Framework The Beginner’s Guide to Reading & Understanding Financial Statements Knowing Your Numbers: Payer Mix and Cost per Patient The Dark Side of Medicare Advantage Plans A Marketing Checklist More Resources Catch up on all the NP Business Matters podcasts here.

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Business Nurse Practitioner Medicare 221

Nursing Review

OCTOBER 7, 2024

In addition to the clinics, the Greens’ plan aims to boost bulk-billed GP appointments at private practices by tripling the bulk-billing incentive for Medicare patients. It would also bump up Medicare rebates by 20 per cent for patients who need longer appointments. It’s high time that it also be applied to Primary Health Care.”

Medicare 52

Medicare Private Practice Free Healthcare Business 52

Health Leaders | Nursing

OCTOBER 14, 2024

A new study from Penn’s School of Nursing links the quality of the nurse work environment and COVID-19 mortality rates among socially vulnerable Medicare patients. The study examines data from 238 acute care hospitals across New York and Illinois.

Medicare 52

Medicare Health Outcomes 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

Health Leaders | Nursing

FEBRUARY 6, 2023

The hospital association says it is focusing advocacy on workplace violence, Medicare residency slots, the nursing shortage, and workforce diversity. Increasing Medicare residency slots The AHA is also focusing on increasing the number of residency slots eligible for Medicare funding to address physician shortages, she says. "We

Medicare 105

Medicare Nurse Shortage Retirement Education 105

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

Healthcare Law Insights blog

JUNE 22, 2023

On June 14, 2023, a federal jury found that a Georgia physician knowingly violated the False Claims Act following a two-week trial on allegations that he made false claims to the Medicare Program. This lack of review or audit, according to the physician defendant, meant that use of chelation therapy was not “material” in the eyes of Medicare.

Medicare 52

Medicare 52

American Nurse

SEPTEMBER 9, 2024

Medicare, Medicaid, and many private insurers require the use of the National Provider Identifier (NPI) which is administered by the Centers for Medicare and Medicaid Services (CMS). NPIs are unique identifiers used by providers to bill Medicare and Medicaid for services they provide. Why should I obtain an NPI?

Medicare 52

Medicare Medicaid APRN Nurse Shortage 52

Nursing Review

NOVEMBER 11, 2024

It has mostly involved adding more items to the Medicare schedule, with each professional practising separately. To the disappointment of most allied health professions, the review does not recommend more Medicare payments for them to practise independently. Any change has been incremental and disjointed.

Medicare 52

Medicare Nursing Strikes Holistic Care Licensing 52

American Nurse

JULY 26, 2023

Because Medicare doesn’t cover weight loss medications and they can cost more than $10,000 a year, seniors’ ability to get the new drugs is restricted. There is an exception: Medicare will cover Ozempic and Mounjaro if an older adult has diabetes, because the insurance program pays for diabetes therapies. “We

Medicare 98

Medicare 98

Nursing Review

NOVEMBER 4, 2024

The laws have historically prevented nurses from providing Medicare subsidised services and prescribing certain medications available on the Pharmaceutical Benefits Scheme (PBS) without a supervising medical practitioner. Nurse practitioners and endorsed midwives will continue to work the same way clinically.

Medicare 52

Medicare Nurse Practitioner Pharmaceutical Promotion 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.

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Medicare Telemedicine Medicaid Communication 116

Healthcare Law Insights blog

AUGUST 15, 2023

Large managed care plans have been squarely in DOJ’s crosshairs for years, but a late July 2023 Justice Department settlement agreement with one regional healthcare provider’s Medicare Advantage Plan offers a glimpse into an issue health systems and providers with their own managed care plans need to track. million for her share. [3]

Medicare 52

Medicare 52

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.

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Medicare Holistic Care Medicaid Communication 97

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

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. "We are up to more than 355,000 nurse practitioners across the U.S.

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Nurse Practitioner APRN Medicare Medicaid 144

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.

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Medicaid Medicare APRN Health Outcomes 86

Healthcare Law Insights blog

DECEMBER 28, 2023

The Justice Department took that rare step in Maryland in connection with a practice in which Dr. Ron Elfenbein, a physician, billed Medicare and private payors a Level 4 E/M for patients receiving COVID-19 tests. But unlike some CPT codes, E/M CPT codes are imprecise.

Medicare 64

Medicare 64