American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS EMS Fraud Waste and Abuse Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities.

Medicare

Relias

NOVEMBER 4, 2021

A team of competent, compassionate, and qualified clinicians forms the backbone of every profitable home health business. 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

Relias

OCTOBER 28, 2022

Under the first performance year of VBP in 2023, home health agencies will be scored in part on the patient’s perception of their communication and team discussion.” At busy agencies, many instances of care coordination occur throughout the day as clinicians go about their jobs — but not all get documented. Document all coordination.

Care coordination

American Nurse

APRIL 2, 2024

More recently, in November 2023, the White House released a playbook for addressing SDOH. School and business closures exacerbated food insecurity and income inequality. ANA considers these numbers a first step toward direct reimbursement for nursing services from Medicare and Medicaid.

Health Insurance

American Nurse

JULY 18, 2024

It saves money for Medicare and Medicaid, and it’s exactly what the people want. November 5, 2023. Balina highlighted the confluence of costs and care: “It has been proven again and again that this approach saves money. It’s a rare situation where economics and care align. It saves money for everyone. That never happens.”

Business

Health Leaders | Nursing

SEPTEMBER 5, 2023

Editor’s note: This article appears in the July-September 2023 edition of HealthLeaders magazine. Hartl's business model is to establish relationships with local hospitals and communities, rather than just setting up a telemedicine platform and letting the chips fall where they may. Medicare is about 46% and Medicaid is about 14%.

Medicare

American Nurse

APRIL 30, 2024

That’s made it easier for nurse practitioners to start their own businesses,” said Palicki, an ANA-Ohio member. In this role, she leads projects and advises within the agency aimed at improving care for Medicaid beneficiaries in Texas. Texas has the third largest Medicaid program in the U.S., It’s been easier than I thought!”

Medicaid

Capitol Beat

DECEMBER 22, 2022

This year was a busy and turbulent time for all of us as we continued to navigate life under the COVID-19 pandemic—and nobody knows this more than nurses and healthcare workers. In a tumultuous year, we advocated for nurses and made important progress that will carry us into the new legislative session in 2023.

Medicaid

American Nurse

FEBRUARY 21, 2024

Introduction SOUTH CAROLINA is predominately a rural state that consistently demonstrates poor health rankings, due to the lack of Medicaid expansion, healthcare deserts, and a decreasing physician supply. 2023, January 18). Retrieved March 2023. 8 Coalition for Access to Healthcare. 9 Traczynski, J., & Udalova, V.

APRN

American Nurse

FEBRUARY 29, 2024

Here’s a look at progress made in 2023 and priorities for 2024. Long-term care minimum staffing rule In 2023, ANA maintained pressure on the Department of Health and Human Services (HHS) and its subagency the Centers for Medi-care and Medicaid Services (CMS) to address the nurse staffing crisis.

APRN

American Nurse

JULY 29, 2024

The mostly for-profit nursing home industry argues that staffing problems stem from low rates of reimbursement by Medicaid, the program funded by states and the federal government that covers most people in nursing homes. His father died in April 2023, four months after he entered the home.

Medicaid

Scrubs

JULY 16, 2024

The mostly for-profit nursing home industry argues that staffing problems stem from low rates of reimbursement by Medicaid, the program funded by states and the federal government that covers most people in nursing homes. His father died in April 2023, four months after he entered the home.

Medicaid

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. Building wound care expertise and maximizing your organization’s reimbursements through the Patient Driven Payment Model (PDPM) is now more essential than ever.

Education