Post University

JULY 16, 2025

Additionally, nurse practitioners work with patients to promote wellness and prevent health problems with health education and preventive care. At this time, nurse practitioner organizations and education associations began forming, and 15,000 nurse practitioners were practicing in the United States by the end of the ’70s.

Nurse Practitioner

Nurse Practitioners in Business

MAY 29, 2025

Improve Coding Accuracy and Documentation If your billing is in-house, you can boost revenue by ensuring that coding accurately reflects the complexity of care you provide. Consider periodic documentation training to ensure your biller captures all eligible codes.

Malpractice

Relias

JULY 15, 2025

While the law has been passed, the Centers for Medicare & Medicaid Services (CMS) is still in the process of defining how the funds will be distributed and what will qualify for reimbursement or grant support. Technology investments are another area of interest.

Medicaid

Relias

JULY 23, 2025

Documentation Documentation integrity involves the accuracy of the complete health record. Incomplete, inaccurate, or inconsistent medical record documentation increases the risk of medical errors and legal liability. drugs, supplies, or health care services for Medicare or Medicaid patients).

Best Practices

American Medical Compliance

FEBRUARY 19, 2025

American Medical Compliance is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education to physicians. Additionally, the case manager manages documentation and ensures that all services are delivered in a timely manner. AMA PRA Category 1 Credits.

Medicaid

The Relentless School Nurse

MARCH 8, 2025

The Centers for Medicare & Medicaid Services (CMS) rescinded key guidance on March 4, 2025, affecting Medicaid and Childrens Health Insurance Program (CHIP) coverage for services addressing health-related social needs (HRSNs). However, it fails to consider the well-documented links between social factors and health outcomes.

Medicaid

Nursing Review

NOVEMBER 11, 2024

It has mostly involved adding more items to the Medicare schedule, with each professional practising separately. Over recent decades, health professionals’ education has improved. To the disappointment of most allied health professions, the review does not recommend more Medicare payments for them to practise independently.

Medicare

American Nurse

JUNE 16, 2025

The disparity in this population has been extensively documented. The most frequently observed category of insurance was public Medicare/Medicaid (n = 27, 84.38%). An interesting finding showing that more education is needed is related to the human papillomavirus (HPV) vaccine. References Ali, D., O’Brien, S.,

Nurse Practitioner

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. It’s noteworthy that the 2024 Final Rule expanded the definition of covered entities to include providers receiving Medicare Part B payments, marking a significant shift from previous interpretations.

Medicare

American Nurse

JULY 9, 2025

CFCNs perform assessments, implement interventions, and provide patient education. Routine foot examinations performed by a CFCN or other skilled professional, combined with education in proper foot care, can detect common foot problems, uncover functional decline, and prevent falls. See CFCN® Medicare requirements.)

Medicare

Nurse Practitioners in Business

JULY 5, 2023

Clinical documentation audits. But it’s not the only reason payers may look at clinical documentation. We all know our documentation can protect us or get us into trouble if it’s not there. They can be educational and help you improve the quality of care you deliver and your business. Or are there liability issues?

Business

American Medical Compliance

AUGUST 7, 2024

CMS (Centers for Medicare & Medicaid Services) These regulations provide essential guidelines for healthcare providers participating in Medicare and Medicaid programs. For example, CMS requires accurate and timely documentation of patient care to ensure proper billing and reimbursement.

HIPAA

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

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

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

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.

Outpatient Clinic

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.

Outpatient Clinic

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

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

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

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

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

Relias

MAY 16, 2025

Over a decade ago, the Center for Medicaid and Medicare Services (CMS) Hospital Readmissions Reduction Program (HRRP) focused on reducing 30-day readmissions for high-volume, high-cost conditions like heart failure, pneumonia, and total joint replacements. However, HRRP was often criticized for being narrow in scope.

Self-Care

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

Amercan Journal of Nursing

MAY 21, 2025

Fortunately, effective vaccination exists, and nurses play a critical role in raising awareness, educating patients, and promoting vaccine acceptance. Educating About Shingles and Its Risks Patients may underestimate the severity of shingles, especially if they are unaware of complications such as PHN.

Medicare

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

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

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

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

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

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

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

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

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

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

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

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