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

Health Leaders | Nursing

MARCH 5, 2023

Care models had not wavered much since hospitals became medicalized in the early 20 th century, and particularly since the Centers for Medicare & Medicaid Services (CMS) were created in 1965, says Jason Gilbert, PhD MBA RN NEA-BC , executive vice president and chief nurse executive, Indiana University Health.

Retirement

Healthcare Law Insights blog

JUNE 5, 2023

In the 25 years since, the OIG has issued multiple and specific CPGs that apply to particular segments of the healthcare industry including Medicare Advantage organizations, hospitals, home health agencies, nursing homes, and clinical laboratories. The OIG intends to publish the GCPG by December 31, 2023.

Medicare

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

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

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

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

Daily Nurse

SEPTEMBER 12, 2023

But most importantly, we had to facilitate the correct communication so patient care doesn’t suffer. You’ll get better reimbursement from Medicare, the big blues, and everybody else in insurance. So it’s about improving that communication, getting out of the office, walking the walk, and talking the talk.

Nurse Shortage

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

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

Healthcare Law Insights blog

NOVEMBER 10, 2023

On November 6, 2023, the Office of Inspector General (“OIG”) issued its long-awaited General Compliance Program Guidance (“Guidance”) “to help advance the industry’s voluntary compliance efforts in preventing fraud, waste, and abuse in the health care system.” Communicate the organization’s mission and ethical requirements.

Leadership

Minority Nurse

MARCH 29, 2023

She is committed to providing top-notch care to the communities served by VNS Health Choice MAP and MLTC, many of whom come from vulnerable backgrounds. Esther Conteh is an important nursing leader , and we’re pleased to profile her as part of the Champions of Nursing Diversity Series 2023. That’s one thing I love about this work.

Long Term Care

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. Medicare, the largest payer of medical expenses in the United States, provides primary health insurance for more than 60 million beneficiaries.

Medicare

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

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

SEPTEMBER 12, 2024

Violations may lead to civil monetary penalties, loss of Medicare certification, and potential legal action against the individual nurse or healthcare facility. ED nurses can enhance communication skills by actively listening, having empathy, and using non-judgmental communication with these patients (Navas et al.,

Mental Health

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

Relias

FEBRUARY 1, 2023

It will be imperative for medical practices and organizations to focus on their billing and denial management to maximize revenue in 2023,” noted Cristy Good, MPH, MA, senior industry advisory and coding expert at MGMA. We communicate the change to the pharmacy team. The reason given is that the claim fails to meet inpatient criteria.

Physician Office