Relias

OCTOBER 6, 2021

Because CMS is a federal agency, community providers cannot simply raise their prices or shift costs to create higher DSP wages. Individual states determine provider rates and must include these rates in their state’s Medicaid Plan, which is ultimately reviewed by the Centers for Medicaid and Medicare Services (CMS).

Medicaid

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. This involves promoting ethical behavior, encouraging open communication, and having a zero-tolerance policy towards FWA.

Medicaid

Amercan Journal of Nursing

AUGUST 19, 2024

Some current examples of issues that nurse advocates are working on through federal legislative change are workplace violence, mandatory overtime, faculty shortages, workforce development, and modernizing Centers for Medicare and Medicaid Services payment systems for nursing care. Support from these smaller groups is essential.

APRN

Relias

APRIL 10, 2025

From natural disasters to pandemics and cyberattacks, healthcare organizations must be ready to protect their patients, staff, and communities under any circumstance. This regulation established consistent emergency preparedness requirements for Medicare and Medicaid providers and suppliers of all types.

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).

Medicare

Health Leaders | Nursing

JULY 29, 2024

In terms of nursing, Woods argued that the lack of reimbursement communicates the lack of value for the work nurses do. For payers, Woods said, change would likely begin at the federal level with the Centers for Medicare and Medicaid Services (CMS). This would provide a model for other payers. "If

Chief Nursing Officer

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings.

Medicare

Healthcare Law Insights blog

NOVEMBER 10, 2023

In light of the new Guidance, healthcare entities—and nonhealthcare entities that are entering the health space—should ensure that their approach to compliance: Is fully embraced by leadership and suffused throughout the organization’s culture. For example, it emphasizes the need to: Ensure leadership commitment.

Leadership

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

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

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Skillful Clinician Communication. Not communicating wound status to the responsible family member.

Education

American Nurse

JUNE 13, 2024

This will mitigate burnout, improve retention, and create a culture where nursing knowledge and leadership is encouraged and valued. Use of NPIs allows advanced practice nurses to bill Medicare and Medicaid for services provided to patients. Our professional values influence our perception of the value of nursing. “The

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.

Self-Care

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. The act requires that Medicare- and Medicaid-funded healthcare organizations, such as hospitals and nursing homes, follow state laws related to advance directives.

Self-Care