Healthcare Law Insights blog

JULY 7, 2023

A handful of FCA circuit court decisions issued in 2023 are noteworthy as well. Importantly, although the court assumed the relator engaged in some protected activity, the court found that in many of her communications she, at most, characterized discrepancies in therapy documentation as mistakes or possible computer glitches, not fraud.

Pharmaceutical

Healthcare Law Insights blog

APRIL 28, 2023

The Department of Health and Human Services (HHS) has announced its plan to end the Federal Public Health Emergency (PHE) for COVID-19 on May 11, 2023. Some of these changes have become permanent or extended beyond the end of the PHE due to Congressional action, while some waivers will expire on May 11, 2023. Reimbursement A.

HIPAA

American Nurse

JUNE 5, 2023

Safe, effective, and timely discharge requires good communication among the healthcare team, the patient, and the family. According to a study by Meo and colleagues, effective healthcare team member communication during daily rounds can help reduce length of stay by 21%. 2023; 18(6). American Nurse Journal. BMC Health Serv Res.

Medicare

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. Using currently established communication strategies to reinforce the use of the guide will help facilitate nursing comfort and sustain the practice. 2023; 18(12). JAAD Case Rep.

Clinical Nurse Specialist

University of St. Augustine for Health Sciences

DECEMBER 15, 2023

According to a survey conducted by Doximity, more than 83% of surveyed physicians expressed that telemedicine had proven valuable in improving the ongoing care for patients with complex or chronic conditions, while 65% noted it enhanced communication with their patients. At the University of St. What Does Virtual Healthcare Look Like?

Telemedicine

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS FWA 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

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

American Nurse

SEPTEMBER 20, 2024

Roles and responsibilities as a Chief of Staff for Maryland Department of Health I was appointed Chief of Staff at the Maryland Department of Health (MDH) in February 2023. The same therapeutic communication skills that make someone a great nurse, can also make them an amazing policy advocate.

Medicaid

Consult QD

DECEMBER 7, 2023

After launching Cleveland Clinic Hospital Care At Home (HCAH) in April 2023 to serve patients requiring acute care at Cleveland Clinic Indian River Hospital in Vero Beach, Florida, Cleveland Clinic expanded the pilot to Cleveland Clinic Tradition Hospital in December with rollout to its remaining three Florida hospitals scheduled for 2024.

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. As nationwide expansion begins in 2023, the program is expected to save $3.376 billion in the next five years (2023-2027).

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.” Patient perception of communication and team discussion are two of those five elements. Assessing communication and collaboration.

Care coordination

Minority Nurse

MARCH 29, 2023

Esther Conteh is an important nursing leader , and we’re pleased to profile her as part of the Champions of Nursing Diversity Series 2023. I’m an Advanced Practice Nurse (APRN) and Associate Vice President at VNS Health , one of the nation’s largest nonprofit home and community-based healthcare organizations.

Long Term Care

Health Leaders | Nursing

AUGUST 28, 2023

As we move toward value-based care, we have to take care of lots of people, especially as Medicaid is expanded throughout our country. For example, in dermatology, APPs might do general dermatology and the physicians might do the surgical subspecialty part of that.

Chief Nursing Officer

American Nurse

SEPTEMBER 27, 2023

Despite the evils of the pandemic, one important change was the expansion of private insurance reimbursement for telehealth services as well as Medicare and Medicaid expansion to reduce previously prohibitive barriers of telehealth services. References Centers for Medicare & Medicaid Services. March 17, 2020. link] Zemlak, J.

Medicare

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. Accessed March 22, 2023. 2021;4(4):e218559. Lung-RADS® v2022.

Best Practices

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. Hinck is a community health nurse at Springfield Greene County Health Department in Springfield, Missouri. 2023; 18(5).

Medicare

American Nurse

JUNE 13, 2024

The American Nurses Association (ANA) has done a lot of work to achieve equitable reimbursement of nursing care (McClendon, 2023). Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. This article summarized numerous ways we can show the value of nursing. link] Dall, T.

Health Outcomes

Nurse.com

APRIL 22, 2023

They needed to understand the why,” said Marie Wilson, RN, MSN, CIC, Chairperson of the Communications Committee for the Association for Professionals in Infection Control and Epidemiology and an infection preventionist in Seattle, Washington. According to 2023 data from the Centers for Medicare & Medicaid Services website, more than 1.5

Long Term Care

Every Nurse

JUNE 24, 2023

CLINICAL PRACTICE Preventing Patient Falls and Injuries: Safety Measures for CNAs Updated June 24, 2023 by EveryNurse Staff Writers Patient falls are a major concern in the healthcare field. Hospital readmissions due to falls can result in penalties under Medicare and Medicaid programs.

Mental Health

American Nurse

JULY 3, 2024

Patient-centered care focused on self-sufficiency The Centers for Medicare and Medicaid Services (CMS) uses the term “home health” to describe a federal health insurance program that provides intermittent short-term care to help patients recover from illness and become as self-sufficient as possible at home. November 5, 2023.

Self-Care

American Nurse

OCTOBER 2, 2023

2022–2023: Advanced technology Recent research with LWIT has determined that, contrary to pressure injuries, no temperature change occurs in the skin of a Kennedy lesion in the first 24 hours of discoloration. Skillful communication and empathy can help prevent litigation. 2023; 18(10). June 12, 2023. Walston JD.

Long Term Care

American Nurse

FEBRUARY 16, 2024

Major life activities are described as “caring for oneself, performing manual tasks, seeing, hearing, eating, sleeping, walking, standing, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking, communicating, and working” (ADA, 2009, Section 12102 (2) (A)). References Agency for Healthcare Research and Quality.

Mental Health

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. CMS will post data from participating hospitals on its Care Compare website annually each fall beginning in 2023. Sadly, U.S.

Medicaid