Relias

OCTOBER 25, 2021

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare 97

Medicare Holistic Care Medicaid Communication 97

Nursing Review

MARCH 31, 2023

Nursing Review spoke with professor Ahmed about how ChatGPT could improve nurse-to-patient relationships through better communication. When a healthcare worker might be struggling to communicate with a patient because of a language barrier, you could ask ChatGPT to translate medical information into various languages.

Communication 52

Communication Medicare Education 52

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 98

Medicaid Medicare Care coordination Communication 98

Health Leaders | Nursing

MAY 13, 2025

It's communication to older adults that sounds like baby talk," said Clarissa Shaw, a dementia care researcher at the University of Iowa College of Nursing and a co-author of a recent article that helps researchers document its use. "He wouldn't normally get too frosty with people," Smith said. Cultural differences also come into play.

Long Term Care 52

Long Term Care Retirement Medicare Care coordination 52

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 105

HIPAA Medicaid Medicare Legal Issues 105

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 111

Communication Medicare Self-Care Mental Health 111

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 98

Medicaid Medicare Care coordination Business 98

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 105

Nurse Practitioner Bedside nursing Medicaid Medicare 105

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. Many older Americans receive care from aging services facilities across the United States.

Malpractice 145

Malpractice Nurse Practitioner Long Term Care Medicaid 145

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 73

Telemedicine Medicaid Medicare Licensing 73

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 105

Medicaid Continuing Education Medicare Communication 105

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 91

Medicare Medicaid Business Emergency Care 91

Daily Nurse

AUGUST 7, 2023

“For example, an analysis by McKinsey & Co found that telehealth accounted for less than 1% of Medicare services before the onset of the pandemic, but by July of 2021, telehealth services accounted for about 13-17% of claims submitted to Medicare.

APRN 98

APRN Licensing Medicare HIPAA 98

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 98

Medicare Patient Satisfaction Patient Experience Medicaid 98

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This wastes taxpayer money and interferes with your medical care. trillion in 2015.

Medicare 52

Medicare Health Insurance Medicaid Communication 52

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 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

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 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

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 52

Medicaid Medicare Long Term Care Communication 52

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 116

Retirement Nurse Shortage Medicaid Leadership 116

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. Medicare 1. Reimbursement A.

HIPAA 52

HIPAA Medicare Medicaid Telemedicine 52

Amercan Journal of Nursing

MAY 21, 2025

Nurses should: Explain the pathophysiology of shingles in lay language Emphasize the unpredictability and potential severity of the disease Use storytelling or patient examples to make the consequences real Communicating the Value of Vaccination One of the biggest barriers to vaccine uptake is misunderstanding its benefits.

Medicare 83

Medicare Promotion Communication Education 83

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 45

HIPAA Health Insurance Pharmaceutical Nurse Practitioner 45

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 105

Medicaid Health Insurance Leadership Medicare 105

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 82

APRN Mental Health Psychiatry Nurse Practitioner 82

Consult QD

FEBRUARY 20, 2023

At Cleveland Clinic, Dr. Sydlowski and colleagues are committed to communicating this message broadly. If nothing else, Dr. Sydlowski hopes this research motivates health care providers to make sure their patients get a hearing test, which is covered by nearly all insurances, including Medicare. “It

Medicare 98

Medicare Health Outcomes Communication Education 98

Nurse.com

MAY 9, 2022

These models often involve home visits by nurses and other providers and collaboration with community home health agencies, so nurses must have good communication and collaboration skills, according to Whitfield. For the project, 10 children’s hospitals in the U.S.

Care coordination 105

Care coordination Medicaid Outpatient Clinic Medicare 105

Healthcare Law Insights blog

JUNE 5, 2023

In the 25 years since, the OIG has issued multiple and specific CPGs that apply to particular segments of the healthcare industry including Medicare Advantage organizations, hospitals, home health agencies, nursing homes, and clinical laboratories.

Medicare 52

Medicare Federal healthcare Communication 52

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 52

Medicare Medicaid Staff Training Home Healthcare 52

Relias

JANUARY 8, 2024

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. Communicating consistently — Patients want to be informed. In 2019, $1.9

Patient Satisfaction 52

Patient Satisfaction Medicare Patient Experience Professional Development 52

Capitol Beat

AUGUST 24, 2022

By creating organized advocacy days and partnering with nursing students and fellows, ANA is continuing to reinforce communication channels for nurses to share their stories with policymakers in the Capitol, and make their voices heard. As we know, when nurses speak, Washington listens. to advocate for their profession.

APRN 52

APRN Medicare Communication Education 52

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 98

Clinical Nurse Specialist Medicaid Medicare Communication 98

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 98

Chief Nursing Officer Nurse Practitioner Leadership Medicaid 98

Aussie Nurse

FEBRUARY 21, 2023

They also play an important role in managing patients’ medical records and communicating with other healthcare professionals to coordinate care. What is the medicare healthcare reform in Australia about? What is healthcare?

Medicare 52

Medicare Nursing Strikes Health Insurance Promotion 52

Relias

JANUARY 30, 2024

Healthcare organizations receive scores from the HCAHPS survey , which according to the Centers for Medicare and Medicaid Services, is “the first national, standardized, publicly reported survey of patients’ perspectives of hospital care.” The data is then tabulated to create the HCAHPS score.

Patient Satisfaction 52

Patient Satisfaction Patient Experience Medicare Self-Care 52

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 52

Care coordination Health Outcomes Communication Medicaid 52

Relias

SEPTEMBER 1, 2022

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. Communication. Meanwhile, patient outcomes improved in HHVBP states when compared to non-HHVBP states. million decrease. Toilet hygiene.

Medicare 52

Medicare Self-Care Medicaid Communication 52

Relias

MARCH 5, 2025

Regulatory compliance and CMS guidelines While Medicare only covers Spravato and R-ketamine for anesthetics in SNF or hospitals, CMS guidelines for ketamine storage, handling, and disposal are a good blueprint to follow for creating an effective ketamine compliance program. Documenting all readings to assess patient tolerance.

Medicare 40

Medicare Mental Health Best Practices Communication 40