Relias

MAY 29, 2025

Starting on January 1, 2026, the Centers for Medicare and Medicaid Services (CMS) will implement new Local Coverage Determinations (LCD), which will affect the use of cellular and tissue-based products (CTPs), also known as skin substitute grafts, for the treatment of diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs).

Medicare

American Medical Compliance

JUNE 16, 2025

According to a study by the University at Albany, State University of New York , the Centers for Medicare and Medicaid Services (CMS) issued thousands of citations to nursing homes that did not follow mandated infection control protocols during targeted inspections.

Legal Issues

Nurse Practitioners in Business

JULY 17, 2025

Legal, ethical, and contractual limits, including those established by Medicare , Medicaid , and other insurance fee schedules, may prevent you from increasing prices even if demand would support it. EAMP; regular contributor to the NPBusiness blog and author of “S mart Business Planning for Clinicians. But not in healthcare.

Medicaid

Relias

JULY 23, 2025

While federal guidelines, such as HIPAA and reimbursement rules from the Centers for Medicare & Medicaid Services (CMS), set the baseline, telehealth and telemedicine standards are largely governed by state regulatory boards. drugs, supplies, or health care services for Medicare or Medicaid patients).

Best Practices

The Relentless School Nurse

NOVEMBER 20, 2024

Dr. Oz: Snake Oil Salesman in Chief Dr. Mehmet Oz, the TV quack extraordinaire, has been tapped to lead the Centers for Medicare and Medicaid Services. By choosing Dr. Oz and Linda McMahon, Trump has turned the serious business of governance into a reality TV show, with the American people as unwilling participants.

Health Insurance

University of St. Augustine for Health Sciences

JUNE 23, 2025

There’s a huge demand for pediatric speech therapy, especially for families on Medicaid. A heartfelt mission For Covey, success isn’t just about clinical outcomes or business development. Encouraged by a USAHS SLP professor who nudged her toward exploring new avenues, Covey began to reconsider her path.

Medicaid

American Nurse

JULY 9, 2025

Legal and professional considerations CFCNs who want to start their own clinic or business should evaluate which setting and reimbursement platform to pursue. Although nurses should check their state nurse practice act prior to developing their business structure, foot care remains one of the few areas that allows RN self-employment.

Medicare

Health Leaders | Nursing

MAY 20, 2025

Pillar: CFO Image: Tags: budget business business strategy finance financial healthcare access Medicare/Medicaid nurses nursing regulation staffing strategy supply chain workplace violence Article Type: Analysis Published Date: Monday, May 19, 2025 Hide sidebars: Render small main image:

Medicaid

Nurse Practitioners in Business

JULY 5, 2023

In general, audits in business and healthcare are not uncommon. Now here’s what’s important about audits… They are not just for business owners. So basically…are you doing everything you should be doing, not only in the types of care you are providing but also in the business aspect of your practice? Would you rather listen?

Business

Nurse Practitioners in Business

APRIL 12, 2024

But when you start a practice, it’s up to you to set boundaries, create the rules, and shape the business overall. Or do you want to generate more income, create a real asset, and build a business for yourself? Are you willing to learn and educate yourself about business ? Do you have clear personal and business goals?

Starting a Practice

Scrubs

AUGUST 6, 2023

As part of this effort, the Centers for Medicare & Medicaid Services (CMS) launched a program to incentivize healthcare professionals to adopt the latest technology – namely, electronic health records (EHRs). Providers can also reduce certain Medicare/Medicaid fees by participating in the program.

Medicaid

Scrubs

MARCH 8, 2023

According to the Pennsylvania Department of Human Services, undocumented immigrants can receive federally funded Medicaid through the Emergency Medical Assistance program (EMA), which will cover a specific emergency medical condition if the individual meets the income, resources, and category requirements of Pennsylvania’s Medicaid program.

Medicaid

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern.

Telemedicine

Healthcare Law Insights blog

FEBRUARY 27, 2025

How Medicaid Fraud Accusations Turned into PPP Loan False Statements In April of 2020, like many other healthcare providers, an Idaho-based home health agency applied for a PPP loan during the early days of the COVID-19 pandemic. million in PPP loans, much of which was forgiven by the Small Business Administration (SBA).

Medicaid

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. HIPAA regulations govern the use, disclosure, and safeguarding of protected health information (PHI) by covered entities and their business associates.

HIPAA

Minority Nurse

NOVEMBER 13, 2023

Ferrara is a busy man, wearing many hats. And sometimes you are so busy with your work and personal life that you can’t possibly volunteer any more time, and that’s okay. There are many outdated laws or policies, particularly Medicare and Medicaid. I want to lend my talent.” But we want you to be a member.

Nurse Practitioner

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. However, they do not align with accepted medical or business practices. Unlike fraud, waste is not necessarily intentional but results from inefficiencies.

Medicaid

Consult QD

JULY 18, 2023

Origins and COVID-19 impact The program arose from Cleveland Clinic’s desire to leverage technology to make emergency care more accessible and from the healthcare system’s initial experience with a Centers for Medicare and Medicaid Services payment model called Emergency Triage, Treat, and Transport (ET3). So we evolved to that model.”

Medicare

American Nurse

JULY 2, 2024

Kim King Kim King, MSN, FNP-C, who consults on cannabis care through her business, Thrive to Care and Wellness Education Consulting, hopes to see cannabis education added to nursing program curricula in the next 5 years. We’ve got to educate all nurses, from LPNs to RNs to APRNs,” she said. It needs to go further,” she said.

Business

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. The Acute Care Hospital at Home model (ACHAH) provides traditional hospital inpatient acute-level services at home.

Medicaid

American Nurse

MARCH 5, 2024

Recently, I had the privilege of meeting with Governor Kelly and several healthcare organizations in Kansas to discuss strategies for passing legislation on Medicaid expansion for the state. The discussions included alarming statistics, such as the closure of hospitals, pharmacies, doctor offices, and small businesses in Kansas.

Medicaid

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Abuse refers to provider practices that are inconsistent with sound business, medical, and fiscal practices. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses.

Medicare

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Abuse refers to provider practices that are inconsistent with sound business, medical, and fiscal practices. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses.

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. How will the 2023 final rule affect your business? While this seems like a treat, William A.

Medicare

Capitol Beat

JANUARY 4, 2024

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). In May 2023, OSHA conducted a Small Business Review of a proposed standard.

APRN

IntelyCare

SEPTEMBER 13, 2023

With the end of this fiscal year approaching, The Centers for Medicare and Medicaid Services (CMS) decided to set off its New Year’s fireworks a little early. These actions could include the termination of the provider agreement, denial of payments under Medicare and Medicaid, and other civil penalties. What’s the difference?

Long Term Care

Relias

OCTOBER 20, 2021

Salesforce , one of the foremost technology companies in the world: “Digital transformation is the process of using digital technologies to create new — or modify existing — business processes, culture, and customer experiences to meet changing business and market requirements. Medicaid beneficiaries use telehealth services.

Medicaid

Healthcare Law Insights blog

MARCH 25, 2022

OSHA is considering whether to limit provisions regarding support for vaccinations to employees not covered by the Centers for Medicare & Medicaid Services (CMS). OSHA is not considering mandating vaccines for employees.

Medicaid

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. Specializations Can Enhance Care Team Competency.

Medicare

Celayix

FEBRUARY 7, 2023

This can also lead to decreased business and reduced revenue. This is a huge issue for both patients, and business owners in home healthcare. There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid. One of the most common issues is late or missed home visits.

Home Healthcare

Relias

JANUARY 11, 2023

But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare

Relias

MARCH 15, 2022

One wants to consider vendors that are known to be leaders in the field, in terms of number, volume and size of clients; years in business; and proven performance,” said Woerly. I tell people all the time: An outsource partner is an extension of your business office,” said Phillip E. There are some caveats, however.

Business

Relias

APRIL 18, 2022

Your business model revolves around competent clinicians, care quality, and reimbursements. When you invest in educating clinicians as wound care specialists, you can put your organization in a stronger business position by: Developing a team with clinical expertise in wound and ostomy care. Build Your Reputation as a Specialist.

Education

Relias

OCTOBER 28, 2022

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Busy clinical managers can’t bear the documentation burden alone.

Care coordination

Relias

JUNE 1, 2022

It’s an unfair business practice.” Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Revenue cycle leaders are pushing back against this practice.

Retirement

Relias

JUNE 1, 2022

It’s an unfair business practice.” Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Revenue cycle leaders are pushing back against this practice.

Retirement

American Nurse

APRIL 2, 2024

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. Many Black and Brown populations couldn’t socially isolate because of their housing and employment situations.

Health Insurance