Healthcare Law Insights blog

JULY 21, 2022

Each July, the Medicare Administrative Contractors issue notices of a 2% Medicare payment reduction to those providers who did not meet quality data reporting requirements. Those notices have been sent.

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American Nurse

JULY 26, 2023

The drugs include Ozempic’s sister medication, Wegovy, a weight loss drug with identical ingredients, which the FDA approved in 2021, and Mounjaro, approved as a diabetes treatment in 2022. 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.

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Medicare 98

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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American Nurse

DECEMBER 7, 2023

A universal healthcare plan similar to Medicare could provide basic, free healthcare to all U.S. Medicare has been successful in controlling hospital and physician reimbursement rates and, according to a film produced by Unfinished Business, the U.S. August 18, 2021. citizens with an option for supplementary insurance.

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Relias

FEBRUARY 2, 2023

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A. The final rule includes a 4.1% net inflation rate update.

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Medicare Medicaid 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] billion on aesthetic procedures in 2021 with surgical revenues increasing by 63 percent. [4] 12, 2021, available at [link]. 12, 2021, available at [link].

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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. Here’s what you need to know about value-based payments.

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Medicare Medicaid Patient Satisfaction Business 52

American Nurse

JUNE 7, 2023

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. aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf A brief history of Medicare in America. See Future of nursing goals.)

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Medicare Health Insurance Promotion Nurse Practitioner 116

Consult QD

JULY 18, 2023

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3).

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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. December 1, 2021.

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Medicare Patient Satisfaction Patient Experience Medicaid 98

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.

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Health Insurance Medicaid Medicare 52

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. The act requires that Medicare- and Medicaid-funded healthcare organizations, such as hospitals and nursing homes, follow state laws related to advance directives.

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Self-Care Medicaid Medicare Nurse Practitioner 59

American Nurse

JULY 5, 2023

The Centers for Medicare and Medicaid Services (CMS) provides federal oversight of care quality in all U.S. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

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Medicaid Medicare Promotion Leadership 52

Scrubs

JUNE 29, 2023

UBS, a global financial services company, decided to investigate the issue when UnitedHealth Group, whose stock is analyzed by the firm, reported that healthcare utilization rates have skyrocketed among Medicare beneficiaries. The injury rate among this age group will likely continue to grow as more seniors discover the sport.

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Medicare Health Outcomes 76

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

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Medicare Medicaid Self-Care Education 52

American Nurse

JANUARY 3, 2024

The Centers for Medicare and Medicaid Services (CMS) worked with purchasers, physicians, healthcare organizations, and consumers to identify evidence-based process measures (core measures) to reduce morbidity, mortality, variability, and cost while improving quality outcomes. from Q4 2021 to Q4 2022. See Bundle compliance.)

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Chief Nursing Officer Medicare Medicaid Best Practices 52

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. Cap on Negative Wage Index.

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Health Leaders | Nursing

FEBRUARY 6, 2023

We’re estimated to grow by 46% between 2021 and 2031.” The number of NPs treating Medicare beneficiaries for psychiatric and mental health conditions grew 162% between 2011 and 2019, compared with a 6% decrease in the number of psychiatrists treating Medicare patients, according to a 2022 study. “We An aging U.S.

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Nurse Practitioner Mental Health Medicare APRN 140

Consult QD

MAY 16, 2023

A new policy from the Centers for Medicare & Medicaid Services (CMS) vastly expands coverage for continuous glucose monitoring (CGM), putting better type 2 diabetes management within reach for millions more patients. 2021; 325 (22):2262-2272) Previously, CGM was covered only for those who required mealtime insulin. Martens et al.

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Medicaid Medicare Education 88

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. Education can be formal or informal, depending on the complexity of the patient’s needs. Karmarkar, A.,

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Medicaid Medicare Long Term Care Self-Care 52

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. A survey in September 2021 showed that patients who received ACHAH care were highly satisfied (88%) and were likely to recommend it to friends and family (85%).

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Medicaid Medicare Patient Satisfaction Business 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.

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Medicare Self-Care Medicaid Education 52

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.

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APRN Medicaid Medicare Mental Health 52

American Nurse

FEBRUARY 21, 2024

2021, December). South Carolina Maternal Morbidity and Mortality Review Committee: Legislative Brief 2021. Quality of primary care provided to Medicare beneficiaries by nurse practitioners and physicians. References 1 South Carolina Office for Healthcare Workforce. AHEC SC Health Professions Data Workbook. 2 March of Dimes.

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APRN Nurse Practitioner Clinical Nurse Specialist Medicare 52

Capitol Beat

AUGUST 24, 2022

As we know, there are many issues nurses care about, but for this year’s Hill Day, we focused on three key topics: Improving Seniors’ Timely Access to Care Act of 2021 (S.3018/H.R. The goal of this legislation is to remove burdensome administrative barriers for all four APRN roles to deliver care to their patients.

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APRN Medicare Communication Education 52

Healthcare Law Insights blog

MARCH 25, 2022

The Emergency Temporary Standard (ETS) for Occupational Exposure to COVID-19 for healthcare and healthcare support service workers (OSHA Healthcare ETS) was originally published on June 21, 2021. Potential changes in the OSHA Healthcare ETS. OSHA is not considering mandating vaccines for employees.

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Medicaid Medicare Business 52

Relias

SEPTEMBER 23, 2022

According to the Alzheimer’s Association 2022 Alzheimer’s Disease Fact and Figures report, this population is projected to grow from 58 million in 2021 to 88 million by 2050. Medicare hospice respite care is a short-term inpatient stay available to beneficiaries and designed to alleviate caregiver fatigue.

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Medicare Communication Education 52

Minority Nurse

JANUARY 27, 2023

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

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Nurse Practitioner APRN Medicaid Medicare 103

Relias

JUNE 19, 2023

According to a 2021 report from the United States Government Accountability Office, Medicare spending on stays for severe wound care declined about 2% from $2.06 billion in fiscal year 2016 to $2.01 billion in fiscal year 2018.

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Long Term Care Business Medicare Patient Satisfaction 52

American Medical Compliance

NOVEMBER 3, 2022

The end of 2021 to early 2022, approximately 21 months into the COVID-19 pandemic, saw the addition of a second electronic survey that was exclusive to physicians. The AMA released a statement indicating that in 2021, the prevalence of burnout among U.S. This study would take place over three-year intervals. doctors was 62.8%.

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Telemedicine Mental Health Medicare Promotion 52

Minority Nurse

NOVEMBER 18, 2022

She notes that four states moved to full practice authority through the pandemic: Delaware and Massachusetts in 2021 and New York and Kansas in 2022. In the past few years, the pace has “really picked up as we have seen more and more states move to full practice authority,” according to Kapu.

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Nurse Practitioner APRN Medicaid Medicare 98

Daily Nurse

AUGUST 7, 2023

“For example, an analysis by McKinsey & Co found that telehealth accounted for less than 1% of Medicare services before the onset of the pandemic, but by July of 2021, telehealth services accounted for about 13-17% of claims submitted to Medicare.

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Capitol Beat

JANUARY 2, 2023

7666, the Restoring Hope for Mental Health and Well-Being Act of 2021 was included. Annual Medicare Payment Changes Medicare providers were faced with 8.5% We are pleased to report that H.R. Specifically, ANA supported the inclusion of H.R. 1384, the Mainstreaming Addiction Treatment (MAT) Act.

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Clinical Nurse Specialist Chief Nursing Officer Medicare APRN 40

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. Finally, deliberately falsifying documentation (such as submitting false claim to Medicare) can subject nurses to sanctions under the federal False Claims Act. References American Nurses Association.

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Licensing Legal Issues Medicare Promotion 52

Relias

APRIL 18, 2022

Medicare payment models in skilled nursing and home health provide incentives for clinicians to be well versed in specialty areas such as skin and wound care. Chronic wounds affect about 15% of Medicare beneficiaries each year. Editor’s note: This post was originally published in January 2021 and updated.

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Education Medicare Promotion Medicaid 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.

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Medicare 40

American Medical Compliance

SEPTEMBER 12, 2022

Influenza rates were extremely low in 2021 due to protective measures relating to COVID-19. Since everyone aged 65 and older in the United States is eligible for Medicare, they will be able to get these flu shots for no cost. This means that getting a flu shot this year is extremely important.

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