Daily Nurse

APRIL 24, 2023

According to the Administration on Aging, in 2020, the population of 65 and older numbered 55.7 Centers for Medicare and Medicaid Services. One of the realities of life is that our medical needs increase as we age. And the number of older Americans is steadily growing. It is projected to grow to more than 80 million by 2040.

Malpractice

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

Consult QD

FEBRUARY 17, 2023

As of January 2020, there were 580,466 people across the U.S. experiencing homelessness , with more than 50 percent of individuals lacking any shelter at all. People facing these circumstances are more likely to pass away from cancer compared to those with stable housing.

Medicaid

Consult QD

JANUARY 19, 2024

She and her colleagues analyzed locations of neurologist practices from the 2022 Care Compare database of the Centers for Medicare & Medicaid Services and locations of MS centers as defined by the Consortium of Multiple Sclerosis Centers. Their objective was to compute spatial access to these locations for all U.S.

Telemedicine

Relias

OCTOBER 25, 2021

The challenges of the pandemic and the introduction of the Patient-Driven Groupings Model (PDGM) in 2020 strained home health agencies’ capacity to initiate the start of care in the timely manner required.

Medicare

Healthcare Law Insights blog

FEBRUARY 27, 2025

How Medicaid Fraud Accusations Turned into PPP Loan False Statements In April of 2020, like many other healthcare providers, an Idaho-based home health agency applied for a PPP loan during the early days of the COVID-19 pandemic. Two years later, in 2022, the defendant was charged with and pled guilty to Medicaid fraud.

Medicaid

Symplr

APRIL 28, 2022

As hospital staff were stretched thin and supply chains were disrupted—and still are in many places—the Centers for Medicare & Medicaid Services (CMS) even temporarily suspended quality reporting requirements for Medicare quality programs in 2020. We provide six tips to succeed at a reset.

Medicare

Amercan Journal of Nursing

AUGUST 19, 2024

Some current examples of issues that nurse advocates are working on through federal legislative change are workplace violence, mandatory overtime, faculty shortages, workforce development, and modernizing Centers for Medicare and Medicaid Services payment systems for nursing care.

APRN

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. This is due to the large amounts of COVID-19 tests that were administered in 2020.

Medicare

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. December 27, 2020). Rural Emergency Hospitals.

Medicaid

Healthcare Law Insights blog

APRIL 25, 2022

Prior to the pandemic a Centers for Medicare and Medicaid pilot study yielded positive results with respect to hospital readmission rates and follow-up emergency department visits. What was previously a trickle of interest turned into a wave of necessity as the pandemic overwhelmed hospitals and the health care system in 2020.

Medicaid

American Nurse

DECEMBER 8, 2023

In The Future of Nursing 2020–2030: Charting a Path to Achieve Health Equity , the National Academy of Medicine promotes an interprofessional approach to education and training for nurses to help develop their leadership skills as well as their understanding of health equity, social determinants of health, and population health.

Long Term Care

American Nurse

DECEMBER 8, 2023

The Centers for Medicare & Medicaid Services won’t reimburse hospitals for the care of this condition and may apply a value-based penalty fee. Frequent turning, placing the patient on their side at 30 degrees using foam wedges, and applying skin barriers, such as foam dressings, can help prevent DTI.

Clinical Nurse Specialist

Health Leaders | Nursing

MARCH 5, 2023

Care models had not wavered much since hospitals became medicalized in the early 20 th century, and particularly since the Centers for Medicare & Medicaid Services (CMS) were created in 1965, says Jason Gilbert, PhD MBA RN NEA-BC , executive vice president and chief nurse executive, Indiana University Health.

Retirement

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. This is due to the large amounts of COVID-19 tests that were administered in 2020.

Medicare

American Nurse

JUNE 5, 2023

DME = durable medical equipment, OT = occupational therapy, PT = physical therapy Between November 1, 2020, to May 31, 2021, 1,788 patients were discharged from the unit (1,552 discharged home and 236 discharged to a facility). A noticeable decrease in discharge times occurred from November 1, 2020, to May 31, 2021. 2019;19(1):935.

Medicare

Nurse.com

JUNE 3, 2022

The Centers for Medicare & Medicaid Services (CMS) reports that home care expenditures are expected to reach $201B by 2028, a 73% increase from 2020. Rather than leaving the profession altogether, nurses should consider the benefits of home health care positions compared to working in the hospital environment.

Home Healthcare

American Nurse

MARCH 6, 2024

September 2020. 2020; 86(1):29-38. doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. 2020; 28(8):3557-69. doi:10.1136/bmjopen-2020-039543 Lexow M, Wernecke K, Sultzer R, Bertsche T, Schiek S. 2020; 13:1347-61. American Nurse Journal. 2024; 19(3). Br J Clin Pharmacol. doi:10.1111/bcp.14164

Telemedicine

American Medical Compliance

DECEMBER 26, 2023

On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare.

Health Insurance

American Nurse

FEBRUARY 16, 2024

In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP). Prescription Opiates [link] Centers for Medicare and Medicaid Services (n.d) [link] Li, C. History of Rehabilitation Nursing [link] Centers for Disease Control and Prevention (n.d.) Karmarkar, A.,

Medicaid

Relias

APRIL 28, 2022

Throughout the cycle, the possibility of errors looms if your staff isn’t up to speed on the complex coding demands and rules set by hospitals, insurers, and the Centers for Medicare and Medicaid Services. of claims between 2016 and the third quarter of 2020. How Clinical Documentation Integrity Affects Revenue.

Medicaid

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 stand with Rep. Lucille Roybal-Allard to announce the ICAN Act in September.

APRN

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. All-Payer Policy for Home Health Quality Reporting.

Medicare

American Nurse

JUNE 3, 2024

According to a 2020 study by Dietz and colleagues, over 5.4 3W3aHFM Centers for Medicare & Medicaid Services. The nurse on the adult medical unit struggled to balance patient safety and the patient’s preference to sit on the floor, which they could have achieved by providing the patient with a mat for comfort and safety.

Communication

American Nurse

JULY 2, 2024

ACNA released a statement in 2020 acknowledging that “cannabis has long been used to discriminate against Black, Indigenous, and People of Color (BIPOC) and incarcerate people who are non-violent drug offenders. Yes, it affirms that cannabis has medicinal value, but it doesn’t make it more affordable for Medicaid patients, for instance.”

Business

Healthcare Law Insights blog

MAY 17, 2023

One study of cosmetic surgery data found that body procedures like tummy tucks, buttock augmentation, and liposuction increased by 63 percent from 2020 to 2021. [1] Cosmetic surgeries are on the rise. 1] Facelifts were up 54 percent. [2] 2] And breast procedures were up 48 percent. [3] 3] According to that study, Americans spent over $14.6

Medicare

Relias

JANUARY 11, 2023

But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare

American Nurse

APRIL 2, 2024

Influential efforts such as the 2021 National Academy of Medicine report, Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, and the Department of Health and Human Services Healthy People 2030 initiative prioritized SDOH. The COVID-19 pandemic laid bare the effects of social determinants of health (SDOH).

Health Insurance

Relias

OCTOBER 20, 2021

In 2020, the American Psychiatric Association noted that? Several factors drove these concerns, such as licensing, Medicare/Medicaid?reimbursement, Medicaid beneficiaries use telehealth services. SoonerCare Medicaid program. The behavioral health sector is following suite. 85% of psychiatrists ?met a majority of?their

Medicaid

Relias

MARCH 1, 2023

Jenn Leitch, MN, RN, CCM, CGS, who served as a nurse manager in the department of care management at Oregon Health & Science University, told Relias Media that the hospital “saved 2,382 hospital days over the fiscal year of July 2019 to June 2020 because we transitioned these patients to skilled nursing facilities sooner.”

Medicare

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

American Nurse

SEPTEMBER 5, 2024

2024), dental utilization decreased faster than medical during shelter-in-place (2020) and rebounded more slowly later. TABLE 1: Lived Experience Dental Caries Prevention Questionnaire Question 1 Tell me about your preventative caries dental experience before 2020. Question 2 What preventative care were you using before 2020?

Medicare

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. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states. million decrease.

Medicare

Relias

NOVEMBER 4, 2021

The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. This model enhances the focus on patient needs and outcomes accompanying the Patient-Driven Groupings Model (PDGM) for home health, implemented in January 2020.

Medicare

Minority Nurse

MARCH 19, 2024

The United States Government Accountability Office reported a 15-fold increase over the prepandemic level in telehealth use among Medicaid beneficiaries. million from March 2020 to February 2021. Numbers skyrocketed from 2.1 million in the year before the pandemic to 32.5 Teresa Rincon, PhD, RN, FCCM, is a pioneer in virtual nursing.

Chief Nursing Officer

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 )​​. Consequently, we’ve seen widespread adoption of these patient portals that most of us now regularly use.

Care coordination

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). Consumer genomic testing in 2020.

Pharmaceutical