Daily Nurse

APRIL 24, 2023

According to “The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition,” claims again nurse practitioners (NPs) are rising. NSO’s & CNA’s report entitled, The 2022 Nurse Practitioner Professional Liability Exposure Claim Report: 5th Edition , revealed that aging services claims increased from 17.2

Malpractice

Healthcare Law Insights blog

NOVEMBER 22, 2022

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

Medicare

Nurse.com

JULY 18, 2022

This ratio has remained constant even as the number of practicing NPs has exploded in recent years , from 148,000 in 2010 to 222,000 in 2016, to 355,000 by Spring of 2022. It is no surprise, then, that NPs are in particular demand in rural America and, over 80% of NPs accept Medicare and Medicaid patients.

Nurse Practitioner

Minority Nurse

MAY 19, 2023

for the most vulnerable childbearing populations, including Black mothers and those insured by Medicaid. These same nurse-to-patient ratios were included in the AWHONN nurse staffing standards published in 2022. Studies show that Medicaid pays hospitals less than half of what commercial insurers pay for a birth.

Medicaid

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

Empowered Nurses

OCTOBER 12, 2023

In it, 335,000 registered nurses and licensed practical/vocational nurses surveyed in 2022. For the first time ever, centers for Medicare and Medicaid services have proposed new staffing regulations for long term care facilities. That survey found that one in four nurses intended to leave the profession in the next four years.

Long Term Care

Daily Nurse

JULY 31, 2023

The American Nurses Association (ANA) underscores the urgency for Congressional leaders, the Centers for Medicare & Medicaid Services (CMS), and other key stakeholders to advance efforts in implementing safe staffing standards , including minimum nurse-to-patient ratios.

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

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

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.

Medicare

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% CMS estimates that this move would decrease reimbursements by about $810 million compared to 2022 projected reimbursements. Adjusting PDGM Calculations Based on Data.

Medicare

Council of Public Health Nursing Organizations

MARCH 8, 2024

CMS (2022) created rural emergency hospitals (REH) as a separate provider designation effective January 1, 2023. 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.

Medicaid

Minority Nurse

NOVEMBER 13, 2023

In April of 2022, New York Governor Kathy Hochul signed legislation that nurse practitioners with more than 3600 hours of clinical experience have full practice authority and are no longer mandated to have any contract with physicians to practice. There are many outdated laws or policies, particularly Medicare and Medicaid.

Nurse Practitioner

American Medical Compliance

MARCH 13, 2023

Many of these individuals targeted elderly patients who receive Medicare benefits. Others controlled telemarketing schemes in order to target elderly Medicare patients to consent to tests by misleading and deceiving them. The Centers for Medicare & Medicaid Services investigates these cases and prioritizes protecting patients.

Medicare

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. Barring Congressional action, this waiver is set to expire at the end of the Public Health Emergency , which CMS recently indicated would be in July 2022.

Medicaid

Healthcare Law Insights blog

MARCH 25, 2022

On March 23, 2022, the Occupational Safety and Health Administration (OSHA) published a notice in the federal register announcing a limited re-opening of the comment period regarding OSHA’s final standard to protect healthcare and healthcare support service workers from occupational exposure to COVID-19. Contact us.

Medicaid

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 receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8 March 2023.

Medicaid

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

Capitol Beat

DECEMBER 6, 2022

Recently, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) entitled Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs. These recommendations also support ANA’s legislative advocacy as we encourage lawmakers to support H.R.

APRN

American Medical Compliance

AUGUST 27, 2024

CMS Coverage Decision for Continuous Glucose Monitors On February 28, 2022, the Centers for Medicare and Medicaid Services (CMS) made a significant determination, classifying both non-adjunctive and adjunctive Continuous Glucose Monitors (CGMs) as Durable Medical Equipment (DME).

Medicaid

IntelyCare

JANUARY 10, 2023

The RAI process is also a federal requirement from the Centers of Medicare and Medicaid Services (CMS) as outlined in section §483. Reimbursement The facility’s state Medicaid reimbursement is calculated using the MDS assessments produced from the RAI process. comprehensive, quarterly, significant change in status).

Medicaid

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. You will compete nationally in your applicable size cohort determined by your 2022 census.”. million decrease.

Medicare

Healthcare Law Insights blog

MAY 17, 2023

6] Specifically, the government’s complaint gives examples of giving patients “tummy tucks” following the patients’ “interest in body contouring,” but billing Medicaid for “hernia repairs.” [7] 11, 2022, available at [link]. [2] And not just DOJ scrutiny, but whistleblower scrutiny as well. 5] 42 U.S.C. 1395y(a)(1)(A). [6]

Medicare

Capitol Beat

SEPTEMBER 23, 2022

On July 12, 2022, ANA announced a Racial Reckoning statement acknowledging our harmful past actions and outlining a plan to rectify our history and make changes for the future. Our work in the last few months is an illustration, with ANA’s policy team submitting comment letters to the Centers for Medicare and Medicaid Services (CMS).

Medicare

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

University of St. Augustine for Health Sciences

DECEMBER 15, 2023

1 Individuals covered by Medicaid (28.3%) and Medicare (26.8%), those who are Black (26.1%) and those earning less than $25,000 (26.4%) have the highest rates of telehealth visits. 1 83% of patients who had a telemedicine visit in the previous year said they want to continue or increase their use of telemedicine in the future.

Telemedicine

American Nurse

SEPTEMBER 5, 2024

Missouri skilled nursing facility residents (N=253) reported that 49% of residents rely on staff to clean their mouth, many have no Medicare dental coverage, and Medicaid covers a limited number of dental services (The Oral Health of Adults, 2022). People with less than 20 teeth have problems eating healthy food.

Medicare

Capitol Beat

MARCH 15, 2022

The bill, which also includes Ukraine emergency spending attached, was signed into law on March 15, 2022. The Committee requests a report within 180 days of enactment of this Act addressing the role of Medicare funding in supporting the training of nursing and allied health professionals. Agencies Health and Human Services : $108.3

Medicare

American Nurse

MARCH 6, 2024

doi:10.1136/bmj.m865 Centers for Medicare and Medicaid Services. doi:10.25300/MISQ/2022/16201 Hales CM, Servais J, Martin CB, Kohen D. Silver Spring, MD: American Nurses Association ; 2021. Backhouse A, Ogunlayi F. Quality improvement into practice. 2020;368:m865.doi:10.1136/bmj.m865 Certified EHR technology. September 6, 2023.

Telemedicine

American Nurse

MAY 8, 2023

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. In addition to informing patients, public reporting can drive providers to improve performance.

Medicare

Amercan Journal of Nursing

OCTOBER 19, 2023

On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. The most recent 2022 Nursing Home Staffing Study found that a total nurse (RN, LPN, NA) staffing level between 3.8 HPRD and 4.6

Long Term Care

Minority Nurse

OCTOBER 7, 2022

Institute for Safe Medical Practices, 2022). Rodziewicz, Houseman, and Hipskind, 2022). Department of Health and Human Services, Centers for Medicare and Medicaid. Accessed July 29, 2022 [link]. Published April 7, 2022. Accessed September 25, 2022 [link]. Updated May 1, 2022. It is intentional.

Self-Care

Capitol Beat

DECEMBER 22, 2022

While nurses across the country continued to provide valuable care to their patients, the Policy and Government Affairs team at American Nurses Association focused 2022 on highlighting the value of the nurse in our health care delivery system. So, what do we mean when we talk about the value of the nurse? Read more about the #ICAN Act here.

Medicaid

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. link] Published November 2022. 2021;4(4):e218559. Lung-RADS® v2022.

Best Practices

Minority Nurse

JANUARY 27, 2023

In April 2022, New York and Kansas granted FPA to NPs. 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. Now, patients in more than half of the states, the District of Columbia, and two U.S.

Nurse Practitioner

Minority Nurse

NOVEMBER 18, 2022

In April 2022, New York and Kansas granted FPA to NPs. 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. Now, patients in more than half of the states, the District of Columbia, and two U.S.

Nurse Practitioner