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.

Medicare

Capitol Beat

FEBRUARY 28, 2023

The COVID-19 Public Health Emergency (PHE) that was declared in March 2020 is set to end on May 11, 2023, as the President has announced there will be no more extensions to the PHE. Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. 42 CFR §482.12(c)(1)–(2)

APRN

Daily Nurse

MARCH 9, 2023

In November 2020, during the surge of COVID-19 in rural America, AANA joined several other healthcare organizations to bring equitable access to care in rural America and bridge the rural divide. CRNAs have practiced without this regulation for nearly three years under healthcare flexibilities issued during the public health emergency. .”

Medicaid

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

Nursing Review

JUNE 24, 2024

Professor May is only the third National Rural Health Commissioner appointed in Australia and takes over from Adjunct Professor Ruth Stewart who has held the position since July 2020. The federal government established the office in 2017 with the aim of supporting reforms such as the Stronger Rural Health Strategy.

Medicare

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 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

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

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

Nurse.com

APRIL 14, 2022

To provide more complete care to seniors, the AANP supported the passage of the CARES Act in March 2020, which bolstered seniors’ access to home healthcare services, said Thomas.

Nurse Practitioner

Relias

OCTOBER 7, 2021

Medicare and other payers also encourage home-based care when appropriate to keep the cost of care low compared with skilled nursing facilities and hospitals. Many older people naturally want to stay in their homes and close to their families for as long as possible. Financial Drain From Employee Churn. “For

Business

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

Amercan Journal of Nursing

MAY 21, 2025

and was discontinued in late 2020. However, since Zostavax was discontinued in 2020, the spacing of those vaccines should no longer be an issue. Food and Drug Administration (FDA) in 2017 and recommended by the CDC’s Advisory Committee on Immunization Practices (ACIP).

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

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

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

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

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. In 2020, PDGM changed reimbursement by focusing more on patient characteristics.

Medicare

Nurse.com

MAY 9, 2022

In 2018, the Children’s Hospital Association announced findings from the CARE ( Coordinating All Resources Effectively (CARE) Award, a three-year, $23 million Center for Medicare and Medicaid Innovation project. For the project, 10 children’s hospitals in the U.S. Learn About Nearby Opportunities.

Care coordination

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

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

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. Mandatory Telehealth Reporting.

Medicare

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

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

OCTOBER 6, 2021

In 2020, our partners from ANCOR reported that average yearly turnover rates for DSPs had reached 42.8% Individual states determine provider rates and must include these rates in their state’s Medicaid Plan, which is ultimately reviewed by the Centers for Medicaid and Medicare Services (CMS).

Medicaid

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

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. million decrease.

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

Nursing Review

AUGUST 28, 2023

With higher-income earners, the government uses sticks – buy private cover or pay the Medicare Levy Surcharge. In the 2020-21 financial year, Medicare combined with state and territory government expenditure provided almost $6.1 Governments encourage us to buy private hospital cover.

Health Insurance

American Medical Compliance

NOVEMBER 3, 2022

A recent study published in the medical journal Mayo Clinic Proceedings found that physician burnout increased during the first two years of the COVID-19 pandemic following a six-year drop that ended in 2020. in 2020, 43.9% Helping Doctors Through Extensive Burnout. doctors was 62.8%. These numbers have increased from 38.2%

Telemedicine

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

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

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

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. ANA will continue working with federal policy makers to expand access to APRN care and advance the nursing profession.

APRN