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Comprehensive Case Management Training for Healthcare Professionals

American Medical Compliance

Moreover, by creating individualized care plans, case managers play a key role in improving patient outcomes. The CMS Interim Final Rule The Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFC) to implement section 6052 of the Deficit Reduction Act of 2005 (DRA).

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The Relentless School Nurse: Just Because They Can, Does Not Mean They Should.

The Relentless School Nurse

The Centers for Medicare & Medicaid Services (CMS) rescinded key guidance on March 4, 2025, affecting Medicaid and Childrens Health Insurance Program (CHIP) coverage for services addressing health-related social needs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.

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Nurses as Key Players in Telehealth

Daily Nurse

“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.

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Nurse referrals to pharmacy

American Nurse

The CMs documented all referrals as a problem, goal, and intervention (PGI) in the EHR and offered to assist with scheduling appointments. CM adherence The documentation of referrals in the EHR allowed the project manager to track nurse CM adherence with the referral process and determine the need for process changes.

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How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Relias

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.” Does patient satisfaction equal better health outcomes?

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Nursing and Voting

American Nurse

Certainly, the concept of advocacy is imbedded in the foundational documents of our profession. Health policy includes the decision made to promote the health care of individual citizens. Examples include Medicare and the Patient Protection and Affordable Care Act of 2010. Advocacy What does advocacy mean?

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Medicare Care Compare: Publicly reported performance measures

American Nurse

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. In addition to informing patients, public reporting can drive providers to improve performance.