Relias

MAY 29, 2025

million Medicare beneficiaries in the U.S. Wound care providers are entering a new compliance landscape, which will impact 10.5 with chronic wounds. Whats even more encouraging is the influx of new organizations reaching out proactively to strengthen their wound care programs ahead of these changes.

Medicare

Health Leaders | Nursing

JULY 7, 2025

The  I CAN Act  would remove federal barriers in Medicare and Medicaid programs that prevent APRNs from practicing to their fullest extent. The  PRECEPT Nurses Act  aims to instate a tax credit for nurses who successfully serve as nurse preceptors for nursing students.  Register here today to reserve your spot.

Preceptors

Nursing Review

MARCH 24, 2025

The budget is about strengthening Medicare and the election is Australias opportunity to protect it, Treasurer Jim Chalmers said on his way into parliament Tuesday. The budget is about strengthening Medicare and the election is Australias opportunity to protect it, Treasurer Jim Chalmers said on his way into parliament Tuesday.

Medicare

Nursing Review

JANUARY 29, 2025

A sole trader refers to someone who is the sole owner and decision-maker of their business which essentially translates to being in control of what you do, how you do it, and when you do it. Register your business Youll need an Australian Business Number to operate legally.

Professional Development

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

MAY 29, 2025

Many NP business owners seek ways to grow their practices, not only by seeing more patients, but also by diversifying their revenue streams beyond traditional patient visits. Now, lets discuss services and products NPs can add to grow their businesses. appeared first on Nurse Practitioners in Business.

Malpractice

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

Nursing Review

MARCH 17, 2025

The profession was also unable to access Medicare rebates or Pharmaceutical Benefits Scheme subsidies for patient consultations or scripts. Their skills and competence werent widely understood or recognised. This meant their scope of practice was poorly defined, which may have been confusing for both patients and health professionals.

Military

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

Nursing Review

NOVEMBER 4, 2024

The laws have historically prevented nurses from providing Medicare subsidised services and prescribing certain medications available on the Pharmaceutical Benefits Scheme (PBS) without a supervising medical practitioner. Nurse practitioners and endorsed midwives will continue to work the same way clinically.

Medicare

Nurse Practitioners in Business

JULY 24, 2025

Specific organizations and individuals, referred to as “Covered Entities,” are subject to the Privacy Rules and include healthcare providers, health plans, healthcare clearing houses, and business associates. Here are some things to avoid, regardless of how busy it gets or how stressed you and your staff feel.

HIPAA

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

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

MAY 10, 2023

Recently an NPBO Member shared with me a report on Medicare Advantage plans and the increasing amount of prior authorizations that are being required with Advantage plans. This is true for Original Medicare and Medicare Advantage Plans. Medicare is a complex topic for consumers and providers alike.

Medicare

Nurse Practitioners in Business

JULY 13, 2023

It’s an ongoing debate… Some view business planning as essential, whereas others think it’s optional. And some situations may or may not require a business plan. For example: Small, low-risk startups where the business owner has lots of experience or has started a business before.

Business

Nurse Practitioners in Business

JULY 26, 2022

Opting out of Medicare has caused a lot of confusion for NPs and other providers. In this episode of the NP Business Matters Podcast (Episode #65) I address: The Social Security Act and how that impacts providers. When you can bill Medicare and when you don’t have to. What it means by opting out of Medicare.

Medicare

Nurse Practitioners in Business

NOVEMBER 9, 2022

Hearing about Medicare cuts causes a provider’s blood to run cold. Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” ” by NPs who are new to business and those who have been in practice for years. And many have strong opinions on this.

Medicare

Nurse Practitioners in Business

OCTOBER 5, 2023

Have you ever wondered what success tips nurse practitioner business owners would share with you? I recently asked Nurse Practitioner business owners to share some of their top success tips for those who are thinking about starting and growing their own practices. Well, here they are.

Business

Nurse Practitioners in Business

FEBRUARY 1, 2023

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. Check out the Nurse Practitioners in Business Facebook Group Become a Member of the NPBO Ready to start your own practice?

Medicare

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

MARCH 22, 2024

Recently, a tax-related question posted in the Nurse Practitioner in Business FB Group caught my eye. Taxes can be confusing, and since Tax Day is approaching fast, I thought it might be helpful to review taxes as they relate to different business structures. The question concerned FICA taxes and how they are paid.

Business

Nurse Practitioners in Business

FEBRUARY 24, 2024

Mistakes can happen at any point and across all aspects of building the business. While it is a personal and perhaps a business decision, consider the following. The most significant growth in those needing healthcare is the geriatric population, and most of them will have Medicare and seek providers accepting Medicare. (By

Medicare

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

Relias

OCTOBER 7, 2021

Medicare and other payers also encourage home-based care when appropriate to keep the cost of care low compared with skilled nursing facilities and hospitals. You can target certain types of business or job role experience as you gear up for recruiting students. Financial Drain From Employee Churn. A caring background.

Business

Health Leaders | Nursing

JANUARY 27, 2023

more Black Medicare beneficiaries than Black NPs in non-FPA states. That’s significant because a nursing workforce that reflects its patient demographic makes healthcare more comfortable for every patient, several studies, including a Joint Commission report on cultural diversity, have shown.

Nurse Practitioner

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

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

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

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

Relias

NOVEMBER 4, 2021

A team of competent, compassionate, and qualified clinicians forms the backbone of every profitable home health business. Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. Capturing the higher Medicare reimbursement potential that PDGM provides for those conditions.

Medicare

Nursing Review

OCTOBER 7, 2024

Costed by the Parliamentary Budget Office at $54bn over the next decade, the Greens say big business would foot the bill. In addition to the clinics, the Greens’ plan aims to boost bulk-billed GP appointments at private practices by tripling the bulk-billing incentive for Medicare patients.

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). CMS is strengthening the Medicare Diabetes Prevention Program (MDPP) , which ANA supports.

APRN

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

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