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

American Medical Compliance

FEBRUARY 19, 2025

What You Will Learn: Specific duties of case managers Stages of the case management process Ethical issues that arise in case management Communication skills essential for case management Using interdisciplinary collaboration to enhance case management outcomes Details: Course length: 2 hours and 15 minutes; CME: 2.25

Medicaid

Relias

JULY 23, 2025

Accurate and timely medical record documentation: Facilitates diagnosis and treatment Communicates pertinent information to other caregivers to ensure patient safety Supports optimal care delivery and patient outcomes Common deficiencies in medical records documentation include incompleteness, inaccuracy, and inconsistency.

Best Practices

The Relentless School Nurse

FEBRUARY 15, 2025

The suspension of key publications and the halt in collaboration with international health organizations are examples of how the agency’s communication and research capabilities have already been compromised, which could hinder the response to ongoing outbreaks.

Medicaid

American Medical Compliance

MARCH 21, 2025

The Effective Communication with Patients and Families Training equips healthcare providers with essential skills to enhance patient care through clear, compassionate, and age-appropriate communication. The course also teaches how to adapt communication based on a patients age and how to use verbal communication effectively.

Communication

American Nurse

JUNE 11, 2025

Florida’s SCD prevalence with Florida Medicaid data shows a rate twice as high than that of the national average (Florida Agency for Healthcare Administration, 2023) and despite advancements, remains a significant health burden on the state’s healthcare system further highlighting the need for improved access, resources, and policies.

Medicaid

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Implement Training Programs Develop training modules that educate staff on the importance of nondiscrimination, effective communication with individuals with LEP or disabilities, and procedures for addressing grievances.

Medicare

American Nurse

JULY 2, 2025

About Contact Us 2025 Media Kit State Nurses Associations HealthCom Media Log In Journal Current Journal Archives Journal Features ANA Content Healthy Nurse Leading the Way Rapid Response Viewpoint Working Smarter Editorial Board About the Editor Send a Letter to the Editor Reader Feedback Peer Review Guidelines Author Guidelines and Manuscript Submission (..)

Medicaid

Daily Nurse

MAY 5, 2025

Kennedy noted that the ANA communicates with elected officials to provide feedback and insight about what happens when nurses are cut. Whether its the VA cuts or Medicaid cuts, people deserve the best and safest healthcare, she said. These letters provide very logical and rational reasons why we need to keep every nurse at the VA.

Military

American Medical Compliance

MARCH 12, 2025

This includes training on: Identifying abuse and risk factors, effective communication and teamwork Creating a work environment that encourages and supports openness and discussion of challenges, and Implementation of a person-centered care approach. The nursing home cant make a residentleave if theyre waiting to get Medicaid.

Medicaid

University of St. Augustine for Health Sciences

APRIL 22, 2025

Having protocols can help prevent human error and poor communication around medical decisions. Healthcare Coverage In 2023, 92 percent of Americans had some form of healthcare coveragewhether employer-provided coverage, Medicare or Medicaid or private health insurance.

HIPAA

American Medical Compliance

AUGUST 29, 2024

Participants will learn about best practices in caregiving, communication strategies, and techniques to ensure safety, dignity, and improved quality of life for seniors and individuals with disabilities. It can lead to communication difficulties, social isolation, and decreased cognitive function if left unaddressed.

Medicaid

American Medical Compliance

AUGUST 7, 2024

Additionally, using secure communication channels for transmitting patient information ensures that data is protected during exchanges. CMS (Centers for Medicare & Medicaid Services) These regulations provide essential guidelines for healthcare providers participating in Medicare and Medicaid programs.

HIPAA

Relias

OCTOBER 6, 2021

The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services. Use open and transparent communication strategies. But what exactly makes a good supervisor?

Medicaid

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

Nurse.com

MAY 9, 2022

These children account for one-third of total healthcare spending and 40% of Medicaid’s total spending on kids,” according to a Children’s Hospital Association news release. reduction to Medicaid spending in the first full year of operation, according to a news release. “A This accounted for a 2.6%

Care coordination

Nurse.com

JULY 18, 2022

For Perion, “advocacy, collaboration, and communication” are the three key things she learned as a bedside nurse, and these are also the goals she brings into her NP practice each day. It is no surprise, then, that NPs are in particular demand in rural America and, over 80% of NPs accept Medicare and Medicaid patients.

Nurse Practitioner

Daily Nurse

APRIL 24, 2023

Centers for Medicare and Medicaid Services. Document your patient care assessments, observations, communications, and actions in an objective, timely, accurate, complete, and appropriate manner. There are currently about 14 million people receiving some form of long-term care services.

Malpractice

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. CPT codes for billing purposes are available.

Telemedicine

American Nurse

JUNE 3, 2024

Potential barriers to quality care for patients with ASD include a patient’s inability to effectively communicate their needs to providers, sensory issues worsened by the overstimulating hospital environment, and a lack of specialized ASD training among healthcare providers. See EBP recommendations.) ASD order set.

Communication

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

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

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

Relias

OCTOBER 25, 2021

The OT also is able to communicate the assessment findings and visit information to the entire home health agency team. With that approach, the OT is able to address activities crucial for client success on the first day and is able to initiate care in a timely manner. OTs Can Step Up and Coordinate Care.

Medicare

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.

APRN

American Medical Compliance

JANUARY 9, 2024

Through Medicare, Medicaid, and the Children’s Health Insurance Program, the federal government and state governments offer health care coverage to nearly 100 million individuals. This type of theft is just one example of healthcare fraud. trillion in 2015.

Medicare

Healthcare Law Insights blog

APRIL 28, 2023

Due to the COVID-19 pandemic, emergency declarations, legislation, and regulatory waivers across government agencies, including the Centers for Medicare & Medicaid Services (CMS), allowed for flexibility in the delivery of care to patients, including the expanded use of telehealth. This exception ends with the PHE on May 11, 2023.

HIPAA

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%. BMC Health Serv Res. 2019;19(1):935. December 1, 2021.

Medicare

American Medical Compliance

APRIL 17, 2024

Expand the Medicaid program to cover all adults with income below 138% of the FPL. Not all states have expanded their Medicaid programs. Title IV, which is overseen by the Federal Communications Commission (FCC), also mandates closed captioning for federally funded public service announcements.

Medicaid

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS FWA Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities. Prescription Drug Plans (PDP) provides such coverage.

Medicare

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. CMS EMS Fraud Waste and Abuse Training 2023 The CMS requires both Part D plan sponsors and MA organizations to annually communicate certain compliance and FWA requirements to FDRs or first-tier, downstream, and related entities.

Medicare

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

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. See Skin assessment guide.)

Clinical Nurse Specialist

Relias

SEPTEMBER 22, 2023

In these scenarios, a care coordinator can: Communicate between multiple providers within the continuum of care, especially with a primary care physician. The care coordination trend goes by many names and has been seen across the continuum of care but has been most prevalent in the Medicaid world as part of the Health Home model.

Care coordination

Minority Nurse

SEPTEMBER 30, 2024

Since nurses are natural patient advocates , they may find their friends, families, and patients complaining about these new ways to access care and communicate with providers. They may struggle to access their EHI, coordinate care, and communicate with providers. Where Did These Portals Come From? ”

Care coordination

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

Scrubs

AUGUST 5, 2023

ACOs: Accountable Care Organizations (ACOs) were originally developed by the Centers for Medicare & Medicaid (CMS) to improve the quality of care for Medicare and Medicaid patients. This leads to increased efficiency, better results, and increased patient satisfaction.

Medicaid