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 97

Medicare Holistic Care Medicaid Communication 97

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 101

APRN Medicaid Medicare Resume 101

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 52

Medicare Medicaid Federal healthcare Education 52

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 52

Medicare Medicaid 52

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. Medicare is about 46% and Medicaid is about 14%.

Medicare 116

Medicare Medicaid Telemedicine Nurse Practitioner 116

American Nurse

JUNE 7, 2023

By 2020, progress had been made, but original goals hadn’t been fully achieved. On May 11, 2021, The Future of Nursing 2020–2030, Charting a Path to Achieve Health Equity extended the vision of the previous report and offered new pathways for the nursing profession. A brief history of Medicare in America. New Engl J Med.

Medicare 115

Medicare Health Insurance Promotion Nurse Practitioner 115

Health Leaders | Nursing

FEBRUARY 6, 2023

Primary care shortages are more severe in rural areas, where more than 130 hospitals have closed in the past decade, with nearly 20 in 2020 alone, according to AANP. A 2020 study on the importance of building a strong rural workforce noted that NPs in 2016 represented more than 25% of providers in rural areas—an increase from 17.6%

Nurse Practitioner 140

Nurse Practitioner Mental Health Medicare APRN 140

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 52

Medicaid Medicare Long Term Care Self-Care 52

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 52

Medicare Medicaid Federal healthcare Education 52

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 52

Health Insurance Medicaid Medicare 52

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 97

Telemedicine Medicaid Medicare 97

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 52

Medicaid Medicare Patient Satisfaction Business 52

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 52

Medicare Medicaid 52

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 52

Medicare Business Medicaid Professional Development 52

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 52

Health Insurance Medicare Licensing 52

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 72

Telemedicine Medicaid Medicare Licensing 72

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 52

Medicare Medicaid 52

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 52

Medicare Medicaid Patient Satisfaction Business 52

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 82

Medicaid Medicare Health Outcomes 82

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 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

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. He was told to hang in there till he went on Medicare, that things would improve. Until I met Troy, I did not realize the life-long impact of a catastrophic injury has on people.

Medicaid 105

Medicaid Medicare Nurse Case Manager 105

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. Published December 10, 2018.

Self-Care 105

Self-Care Promotion Medicaid Medicare 105

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 98

Medicare Patient Satisfaction Patient Experience Medicaid 98

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 93

Clinical Nurse Specialist Medicaid Medicare Communication 93

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. 2021;4(4):e218559.

Best Practices 87

Best Practices Medicaid Medicare Communication 87

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 52

Medicare Medicaid Patient Satisfaction Long Term Care 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. 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 52

Medicare Self-Care Medicaid Education 52

American Nurse

FEBRUARY 21, 2024

found that failure to document or falsifying documentation increased in frequency and severity in 2020, compared to 2015 and 2021. The average total incurred professional liability claims by documentation allegations rose from $139,920 in 2015 to $210,513 in 2020. The NSO/CNA Nurse Liability Claim Report (4th Ed.) Be accurate.

Licensing 52

Licensing Legal Issues Medicare Promotion 52

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 133

Malpractice Nurse Practitioner Long Term Care Medicaid 133

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 52

Telemedicine Mental Health Medicare Promotion 52

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 98

Health Literacy Self-Care Education Medicaid 98

American Nurse

FEBRUARY 16, 2024

The CDC (2020) reported that adults with disabilities experience frequent mental distress five times more than adults without disabilities. Children who are “different” are more likely to be bullied and ostracized by their peers (Stopbullying.gov, 2020). 2020, August 4). Society is often unkind to those with disabilities.

Mental Health 52

Mental Health Self-Care Clinical Nurse Specialist Medicaid 52

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 59

Home Healthcare Medicaid Medicare Nursing Skills 59

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 52

APRN Medicaid Medicare Mental Health 52

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 98

Telemedicine Health Insurance Health Literacy Promotion 98

Healthcare Law Insights blog

JULY 14, 2022

In support of these goals, the Centers for Medicare and Medicaid Services (CMS), acting under the direction of the Department of Health and Human Services, issued a proposed rule in the federal register in April titled Fiscal Year 2023 Skilled Nursing Facility Prospective Payment System Proposed Rule (Proposed Rule).

Long Term Care 52

Long Term Care Medicare Medicaid Licensing 52

Consult QD

MAY 1, 2023

Ballroom B (Hynes) Laryngology/Bronchoesophagology TRIO Session Trends in Medicare Reimbursement for Laryngology Procedures between 2000-2021 Author List: Nicole Maronian, MD; Todd Otteson, MD, MPH; Robert Lorenz, MD, MBA ; Michael Lerner, MD; Paul Bryson, MD, MBA 4:05-4:20 P.M. Byrne, MD, MBA – Presenter 9:00-9:40 A.M. May 4, 9:00 A.M.-7:00

Medicare 40

Medicare 40