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

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

Relias

OCTOBER 6, 2021

In 2020, our partners from ANCOR reported that average yearly turnover rates for DSPs had reached 42.8% The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services.

Medicaid

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. HHS Examines Medicare Spending and COVID-19 Tests. Increased Telehealth Services.

Medicare

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

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

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. HHS Examines Medicare Spending and COVID-19 Tests. Increased Telehealth Services.

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

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). Government.

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

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

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 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

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

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.

Medicare

American Nurse

JUNE 3, 2024

According to a 2020 study by Dietz and colleagues, over 5.4 3W3aHFM Centers for Medicare & Medicaid Services. cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS. million adults in the United States (2.21%) have received a diagnosis of ASD. J Autism Dev Disord.

Communication

Relias

JANUARY 11, 2023

For example, less than 20% of Medicare spending is currently value-based. 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 2020, the cumulative savings estimate had increased to $4.1

Medicare

Relias

NOVEMBER 4, 2021

Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. Why Focus on Enhancing Home Health Specializations.

Medicare

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. The more education a patient and his support system receive, the better the patient’s outcome. Karmarkar, A.,

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

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] 8] “United States Files Complaint Alleging Iowa Surgeon Caused Submission of False Claims to Medicare,” DOJ Press Release, May 15, 2023, available at [link]. [9]

Medicare

Relias

MARCH 1, 2023

One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network. She encouraged hospital providers to increase the amount to 80%-90%. Avoid rehospitalization The key to keeping 30-day readmission rates low is preventing avoidable hospitalizations.

Medicare

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

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

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.

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

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

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

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

Health Leaders | Nursing

SEPTEMBER 5, 2023

during that same time period, according to a 2020 study. 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. from 2008 to 2016.

Medicare

American Nurse

SEPTEMBER 27, 2023

The sudden and unexpected emergence of the COVID-19 pandemic presented many new challenges for healthcare delivery in 2020. References Centers for Medicare & Medicaid Services. Medicare telemedicine health care provider fact sheet. March 17, 2020. Let’s take it back for a moment.

Medicare

Nurses Advocates

MAY 15, 2023

A Real Life Event Recently, I have been working with a man who sustained a spinal cord injury in 2020 while he lived in North Dakota. In talking to my patient about his benefits, I learned he was on Social Security Disability and was enrolled in Florida Medicaid. He agreed and he was moved to Fort White, FL. I started the application.

Medicaid

Minority Nurse

OCTOBER 7, 2022

Okpala, 2020). Department of Health and Human Services, Centers for Medicare and Medicaid. 2020; 13(S1): 199–205. Stress, lack of sleep, poor nutrition, and lack of exercise can create cognitive changes that cause a lack of appreciation of risky decisions that direct care nurses can make. References. Updated May 1, 2022.

Self-Care

Consult QD

MAY 8, 2023

3 Who to enroll in a lung cancer screening program : Guidance from the United States Preventive Services Task Force (USPSTF) has contributed to policy from Centers for Medicare & Medicaid Services and other payors for who should be screened. 2020; 382:503-513 3. N Engl J Med. 2011; 365:395-409 2. N Engl J Med.

Best Practices

American Nurse

OCTOBER 4, 2023

Based on evidence that proves early counseling and interventions help reduce modifiable cardiovascular risks associated with HTN, heart attack, and stroke, the Agency for Healthcare Research and Quality, along with Healthy People 2020, also strongly suggest consistent ambulatory cardiovascular risk screenings in adults with T2DM.

Health Literacy