Relias

APRIL 28, 2022

Many participants have a role to play in the revenue cycle, and at each stage they must employ their specialized knowledge of how that patient interaction and service is documented in the patient’s health record. How Clinical Documentation Integrity Affects Revenue. CDI Affects More Than Financial Health.

Medicaid 52

Medicaid Medicare Patient Experience Education 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Retirement 52

Retirement Outpatient Clinic Legal Issues Medicaid 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. The documentation and coding are appropriate on our end. Insufficient Clinical Documentation or Underreported codes.

Retirement 52

Retirement Outpatient Clinic Legal Issues Medicaid 52

American Nurse

JUNE 3, 2024

Create a care plan based on the patient’s ASD assessment, communicate it to all care team members, and document it in the patient health record. Admission history document. If the patient is ever re-admitted, the care team can retrieve and update the document as needed. See EBP recommendations.)

Communication 111

Communication Medicare Self-Care Mental Health 111

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. You can provide consistent care if you have accurate documentation of your patient’s care at the hospital. Manage wounds better. Build clinical excellence.

Education 10

Education Medicare Medicaid Business 10

Relias

APRIL 18, 2022

Specialized wound care education reaps financial and human rewards that can give you a trackable return on investment. Financial rewards of wound care education flow outward from the human benefits. And your wound care education investment can help in all those areas. Results of Your Wound Care Education Investment.

Education 52

Education Medicare Promotion Medicaid 52

American Nurse

JULY 2, 2024

Sherri Mack Nurses are becoming an increasingly important part of the movement to educate patients, other healthcare providers, and the public about cannabis use. Cannabis nursing, a specialty nursing practice focused on providing education and guidance to healthcare consumers on the therapeutic use of cannabis, furthers this effort.

Business 105

Business Education Nurse Practitioner Self-Care 105

Consult QD

FEBRUARY 17, 2023

There are also documented misconceptions in the medical community around the ability of people experiencing homelessness to adhere to treatment plans. One common myth is that people who are homeless may be more aggressive, despite research showing that they are more likely to be victims of violence than perpetrators.

Medicaid 114

Medicaid Mental Health Health Outcomes Education 114

Relias

APRIL 10, 2025

The Centers for Medicare and Medicaid Services (CMS) issued the Emergency Preparedness Rule to provide a national framework for healthcare organizations to improve their readiness for emergencies. 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

American Medical Compliance

MARCH 15, 2024

Furthermore, it prohibits knowingly submitting false or false claims to Medicare, Medicaid, or other federally funded healthcare programs. While EHRs offer numerous benefits, including improved documentation and care coordination, they also introduce complexities and potential vulnerabilities.

HIPAA 105

HIPAA Self-Care Health Insurance Best Practices 105

American Nurse

MARCH 6, 2024

They then provided telephonic education to those patients about polypharmacy, the benefits of a pharmacist-led medication review, and the AWC web application. The CMs documented all referrals as a problem, goal, and intervention (PGI) in the EHR and offered to assist with scheduling appointments.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

IntelyCare

JANUARY 10, 2023

The RAI process is also a federal requirement from the Centers of Medicare and Medicaid Services (CMS) as outlined in section §483. Compliance The most recent ‘comprehensive’ assessment (initial or periodic assessment) is often referred to as the primary resident document and is the representation of the resident’s overall health status.

Medicaid 52

Medicaid Medicare Mental Health Licensing 52

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). ANA’s regulatory engagements, though sometimes overlooked, are an important part of our advocacy on behalf of more than 5 million nurses in the U.S.

APRN 73

APRN Medicare Long Term Care Medicaid 73

American Medical Compliance

FEBRUARY 15, 2023

Combating Fraud, Waste, and Abuse (FWA) Training for Dental Healthcare Providers is designed to educate dental healthcare providers (DHCP) on how to prevent, detect, and report fraud, waste, and abuse in the healthcare setting. 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 EMS Fraud Waste and Abuse Training is designed to educate EMS workers on how to prevent, detect, and report fraud, waste, and abuse in the healthcare setting. The Centers for Medicare and Medicaid Services (CMS) require FWA training. Documentation of this distribution is required.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

IntelyCare

MARCH 2, 2023

It shouldn’t be a huge surprise that many senior living communities have told McKnight’s that they will have to increase agency use this year , especially in light of the Centers for Medicare and Medicaid Services (CMS) potentially moving forward with a new minimum staffing standard in 2023.

HIPAA 52

HIPAA Senior Living Best Practices Medicaid 52

Relias

JUNE 1, 2023

Not all process issues are best served with technology,” said Amber Hermosillo, Revenue Cycle Educator and Quality Director at Banner Health. 5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation. Missing documentation can cause rework for revenue cycle staff.

Medicaid 52

Medicaid Education 52

Relias

JUNE 1, 2023

Not all process issues are best served with technology,” said Amber Hermosillo, Revenue Cycle Educator and Quality Director at Banner Health. 5 – Educate clinicians on required documentation Clinicians sometimes omit important documentation. Missing documentation can cause rework for revenue cycle staff.

Medicaid 52

Medicaid Education 52

American Nurse

FEBRUARY 16, 2024

To address patients’ needs, Bayhealth Hospital has started sending a box of food home on discharge with patients who have food insecurities per their SDOH documentation and a referral to the Delaware Food Bank. Education can be formal or informal, depending on the complexity of the patient’s needs. Karmarkar, A.,

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Board Vitals - Nursing

AUGUST 30, 2016

Quick links are posted at the bottom of this document for your convenience. Teen pregnancy Increase access to contraceptive counseling by expanding the age and income eligibility levels for Medicaid coverage of family planning services to increase teens’ access to healthcare services, including contraception and other preventive services.

Medicaid 52

Medicaid Promotion Licensing Health Outcomes 52

American Nurse

SEPTEMBER 18, 2024

Outdated language in Medicare and Medicaid regulations were written in 1965 before APRNs were providers in the U.S. Stay tuned for updates about educational opportunities and programs from the Task Force this fall! Improving Care and Access to Nurses (ICAN) (H.R. Nurse Faculty Reduction Act (H.R.

APRN 52

APRN Long Term Care Medicaid Medicare 52

American Nurse

DECEMBER 8, 2023

Using an “all teach, all learn” approach, Project ECHO offers interactive education, peer-to-peer learning, case co-management, and collaborative problem-solving. Project ECHO’s “All teach, all learn” approach has four primary elements: interactive education, peer-to-peer learning, case co-management, and collaborative problem-solving.

Long Term Care 87

Long Term Care Leadership Nurse Practitioner Medicaid 87

American Nurse

JULY 5, 2023

The Centers for Medicare and Medicaid Services (CMS) provides federal oversight of care quality in all U.S. hospitals that receive Medi­care and Medicaid funding. Hospitals that accept patients with Medicare or Medicaid insurance (approximately 61.4 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

Relias

OCTOBER 28, 2022

Comprehensive education for home health staff is vital to boost performance under HHVBP, observed Relias Director of Post-Acute Care Solutions Trish Richardson, MSN, BSBA, RN, NE-BC, CMSRN. Documentation in the medical record. Document all coordination. If it didn’t get documented, it didn’t get done.”.

Care coordination 52

Care coordination Communication Medicaid Medicare 52

Relias

DECEMBER 8, 2022

But there is a particular educational tool that tends to fall under the radar of many healthcare organizations. Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). We all love free tools that help our organizations perform better.

Medicare 52

Medicare Medicaid Self-Care Education 52

Capitol Beat

DECEMBER 6, 2022

Recently, the Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) entitled Make Your Voice Heard: Promoting Efficiency and Equity Within CMS Programs. These recommendations also support ANA’s legislative advocacy as we encourage lawmakers to support H.R.

APRN 52

APRN Medicaid Medicare Licensing 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). Bear in mind that your rating depends on accurate documentation of your initial assessment of the patient and in your Medicare claims for the care provided.

Medicare 52

Medicare Medicaid Staff Training Home Healthcare 52

Minority Nurse

MARCH 19, 2024

The United States Government Accountability Office reported a 15-fold increase over the prepandemic level in telehealth use among Medicaid beneficiaries. During the COVID-19 pandemic, many care providers considered how telehealth tools could be used in innovative ways in the care of patients. Numbers skyrocketed from 2.1

Chief Nursing Officer 59

Chief Nursing Officer Bedside nursing Clinical Nurse Specialist Telemedicine 59

Relias

NOVEMBER 4, 2021

The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. Investing in clinicians and caregivers to ensure they have specialized education and training appears to be the best way to stay compliant. Incentivize Staff Education. Palliative care.

Medicare 52

Medicare Business Medicaid Professional Development 52

American Nurse

APRIL 2, 2024

Employment, education, health insurance, sufficient healthy food, healthy neighborhoods and environments, economic stability, and community support also are included among SDOH. Waite called on nurses to remember that social justice is a core tenet of ANA foundational documents, including the Code and Scope and Standards of Practice.

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 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.” Educate the patient Receiving a new diagnosis or update to an existing one can be frightening.

Patient Satisfaction 52

Patient Satisfaction Patient Experience Medicare Self-Care 52

Healthcare Law Insights blog

JULY 7, 2023

These decisions are wide-reaching and impact individuals, employers, and higher education institutions. Therefore, the court noted, such communications were insufficient to alert anyone to allegedly protected conduct, particularly given her job responsibilities included assuring accurate documentation of therapy minutes.

Pharmaceutical 52

Pharmaceutical Medicare Medicaid Communication 52

Relias

AUGUST 9, 2023

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. Access education and support when they need it. Each of them has different educational needs. Tailor their education to their needs.

Best Practices 52

Best Practices Education Medicaid Medicare 52

Relias

MAY 1, 2022

Keeping accurate documentation. 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. Deliberate Wound Documentation. Carefully assessing on admission.

Education 98

Education Communication Long Term Care Medicaid 98

Amercan Journal of Nursing

OCTOBER 19, 2023

On Sep 6, 2023, the Centers for Medicare and Medicaid Services (CMS) published a proposed rule for their widely anticipated minimum staffing requirements for long-term care facilities. In the past, this has come through mechanisms such as wage pass throughs and Medicaid Incentive Payment Programs. 2001, December 24).

Long Term Care 96

Long Term Care LPN Medicaid Licensing 96

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Be Documented : Maintain records of training sessions for accountability and future reference. 5. Health Insurance Providers : Companies providing health coverage plans.

Medicare 59

Medicare Health Insurance Medicaid Patient Satisfaction 59

American Nurse

MAY 8, 2023

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. Frequently, providers report measures using standardized documentation required by CMS. Data transparency aids care quality improvement.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 52