Daily Nurse

APRIL 24, 2023

Centers for Medicare and Medicaid Services. Maintain basic clinical and specialty competencies by proactively obtaining the professional information, education, and training needed to remain current regarding nursing techniques, clinical practice, medications, biologics, and equipment.

Malpractice 145

Malpractice Nurse Practitioner Long Term Care Medicaid 145

American Nurse

FEBRUARY 21, 2024

DOCUMENTING CARE is a basic nursing responsibility, but it’s one that nurses often struggle with because of time constraints and challenges associated with electronic health records (EHRs), such as poor user interfaces that leave nurses unclear as to where to document findings. The NSO/CNA Nurse Liability Claim Report (4th Ed.)

Licensing 52

Licensing Legal Issues Medicare Promotion 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

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. Through accurate documentation, ethical billing practices, continuous education, and robust internal controls, providers can significantly lessen FWA risks.

Medicaid 105

Medicaid Continuing Education Medicare Communication 105

Amercan Journal of Nursing

JUNE 14, 2024

Photo by AXP Photography on Unsplash There is a national shortage of nursing faculty to educate the future nurse workforce. The faculty role is vital to the health of the profession, and it is particularly important to recruit excellent educators with relevant clinical experience. The salary gap between clinical and faculty roles.

Nurse Practitioner 111

Nurse Practitioner Medicare Self-Care Retirement 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. A study published in Value in Health on the cost of chronic wound care for Medicare beneficiaries revealed that nearly 15% of the patients (8.2 billion to $96.8

Education 10

Education Medicare Medicaid Business 10

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

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

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

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

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 73

APRN Medicare Long Term Care Medicaid 73

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

Daily Nurse

SEPTEMBER 12, 2023

Anne Dabrow Woods has incredible insight into nursing as a practicing critical care nurse practitioner and nursing educator with over 39 years of experience and counting. I’ve worked as a staff nurse, nurse educator, manager, and director of different critical care in hospitals, and then I went on and became a nurse practitioner.

Nurse Shortage 126

Nurse Shortage Nurse Practitioner Education Travel Nursing 126

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

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

NOVEMBER 4, 2021

Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. Why Focus on Enhancing Home Health Specializations.

Medicare 52

Medicare Business Medicaid Professional Development 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). Medicare has identified 10 target areas as risky for proper payments.

Medicare 52

Medicare Medicaid Self-Care Education 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

AUGUST 11, 2022

The revenue cycle spans everything from patient registration and documenting the medical record to receiving payment for services provided to patients. Clinical documentation integrity within this record is essential in both the revenue cycle and patient care processes. Tips to improve this step: Invest in staff education.

Medicare 52

Medicare Education 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

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

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

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

Relias

MARCH 5, 2025

Establish oversight and documentation protocols Spravato has a built-in reporting system that notifies providers and organizations when a dose is missed. Accurate documentation of all dosing decisions and adjustments is critical, as it supports treatment planning, insurance approvals, and compliance with regulatory standards.

Medicare 40

Medicare Mental Health Best Practices Communication 40

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

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 accept patients with Medicare or Medicaid insurance (approximately 61.4 million have Medicare, Parts A and B, and 75.8 Doi: 10.51256/ANJ072339 Reference Centers for Medicare and Medicaid Services.

Medicaid 52

Medicaid Medicare Promotion Leadership 52

American Nurse

JULY 5, 2023

After 3 years of relaxed practice restrictions during the COVID-19 public health emergency (PHE), which ended in May 2023, some waivers that allowed APRNs to practice to the full extent of their training and education have expired. She encouraged APRNs to advocate for themselves and to educate administrators about the correct information.

APRN 52

APRN Medicare Nurse Practitioner Licensing 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

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

Hospital Recruiting | Nursing

JANUARY 3, 2022

RVUs or Relative Value Units are part of the formula Medicare uses to quantify the complexity of work and expense a practice generates seeing patients. Every type of encounter is assigned an RVU value by Medicare. There are many grants available for educational expenses and career training. are qualified for work in the country.

Medicare 59

Medicare Malpractice Pharmaceutical Long Term Care 59

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

FEBRUARY 1, 2023

You can get claims paid with smart use of technology and education — but there is a sense of urgency since it’s already happening. “It Some Medicare Advantage plans are denying authorization for hospitalization. Proactive revenue cycle leaders are fighting back with education and technology. Step 2: Educate staff.

Physician Office 10

Physician Office Medicare Retirement Education 10

Nursing Review

MARCH 31, 2023

It can produce discharge papers a person could use for Medicare or insurance claims and create transcripts of conversations. There are also major educational uses and resources in a similar way. ChatGPT can be useful in an assistive mode for, for example, administrative task documentation or help mine the literature for information.

Communication 52

Communication Medicare Education 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