American Medical Compliance

JUNE 21, 2024

The Department of Health and Human Services (HHS) estimated that improper payments in the Medicare and Medicaid programs exceeded $100 billion from 2016 to 2023. Moreover, as frontline defenders of the healthcare system, healthcare providers play a crucial role in preventing these issues.

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 accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8 Rather, it falls under the leadership standard (LD.04.01.01), 2023; 18(7).

Medicaid

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.” For example, it emphasizes the need to: Ensure leadership commitment.

Leadership

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. This blog was guest-authored by Samantha Karp.

APRN

Capitol Beat

JANUARY 2, 2023

Opioids ANA Chief Nursing Officer, Debbie Hatmaker, sent a letter to Congressional Leadership highlighting the need for certain bills and/or provisions to be included in this omnibus package. Annual Medicare Payment Changes Medicare providers were faced with 8.5% payment cuts slated to go into effect on January 1, 2023. The

Clinical Nurse Specialist

American Nurse

JULY 5, 2023

After 3 years of relaxed practice restrictions during the COVID-19 public health emergency (PHE), which ended in May 2023, some waivers that allowed APRNs to practice to the full extent of their training and education have expired. 2023; 18(7). Certain other restrictions also were lifted. American Nurse Journal.

APRN

Daily Nurse

SEPTEMBER 12, 2023

You’ll get better reimbursement from Medicare, the big blues, and everybody else in insurance. If leadership is listening and provides the staff with the right resources, like information tools, that type of thing they can use in their practice. You’ll get better patient outcomes. But we have to invest in our nurses.

Nurse Shortage

Minority Nurse

MARCH 29, 2023

After working as a home health aide at VNS Health, she became an RN with the organization and moved quickly through the ranks, leading to her current leadership role, where she oversees a large and diverse team. Working with our MLTC (Managed Long Term Care) and Medicare members requires skill, empathy, and patience. And she was right.

Long Term Care

Health Leaders | Nursing

FEBRUARY 6, 2023

Growing demand for nurse practitioners (NPs) is among the profession’s key trends for 2023, its national organization says. NPs are taking on leadership roles in research and the diagnosis and treatment of illnesses. AANP emboldens its members to take on leadership roles by offering ongoing courses in developing leadership skills.

Nurse Practitioner

American Nurse

JUNE 13, 2024

This will mitigate burnout, improve retention, and create a culture where nursing knowledge and leadership is encouraged and valued. The American Nurses Association (ANA) has done a lot of work to achieve equitable reimbursement of nursing care (McClendon, 2023). Our professional values influence our perception of the value of nursing.

Health Outcomes

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

JUNE 7, 2023

This emphasis will require nurses to take on important operational and leadership roles in programs established to improve the health of the nation. 2023; 18(6). A brief history of Medicare in America. medicareresources.org/basic-medicare-information/brief-history-of-medicare Blumenthal D, Collins SR, Fowler EJ.

Medicare

Relias

JANUARY 16, 2023

Here are six to watch and prepare for as 2023 unfolds. This estimate is based on a survey of physicians who primarily serve Medicare fee-for-service and Medicare Advantage patients and represents up to a fourfold increase in the cost of care delivered at home today. Home-based care is growing. Penalties rise to $1M.

Medicare

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. Several recent developments aim to address these issues.

Chief Nursing Officer