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. Building wound care expertise and maximizing your organization’s reimbursements through the Patient Driven Payment Model (PDPM) is now more essential than ever.

Education 10

Education Medicare Medicaid Business 10

American Nurse

MARCH 6, 2024

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.

Telemedicine 98

Telemedicine Health Insurance Health Literacy Promotion 98

American Nurse

SEPTEMBER 18, 2024

Supporting the CMS Long-term Care (LTC) Staffing Rule: The new regulations require LTC facilities have a RN on site 24/7 and establish minimum staffing levels. Improving Care and Access to Nurses (ICAN) (H.R. The issues prioritized for discussion with our legislators were: Restricting Mandatory Overtime for Nurses (H.R.

APRN 52

APRN Long Term Care Medicaid Medicare 52

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

Medicare 52

Medicare Medicaid Self-Care 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. In 2012, the Centers for Medicare and Medicaid Services implemented the Hospital Readmissions Reduction Program (HRRP).

Medicaid 52

Medicaid Medicare Long Term Care Self-Care 52

Relias

MARCH 12, 2025

Whether its skilled nursing facilities, hospitals, or home health agencies, regulatory bodies require that healthcare providers demonstrate competency in delivering patient care. Regulatory readiness and compliance Regulatory audits and surveys require documented evidence of staff competency.

Long Term Care 40

Long Term Care Medicaid Medicare Patient Satisfaction 40

Daily Nurse

SEPTEMBER 12, 2023

We need to understand most nurses in acute care and long-term care settings now are novice nurses or nurses who have only been in the profession for a few years. So, whatever we do, we document it and get reimbursed. I work in acute care, so I never see a reimbursement because the hospital sees the reimbursement.

Nurse Shortage 126

Nurse Shortage Nurse Practitioner Education Travel Nursing 126

Hospital Recruiting | Nursing

JANUARY 3, 2022

Working for an agency as a nurse could see you working in rehab centers, inpatient psych units, group homes, long-term care facilities, and more. 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.

Medicare 59

Medicare Malpractice Pharmaceutical Long Term Care 59

Nurse.com

JULY 11, 2022

A long-term care nurse shared that her facility was accused of negligence in failing to use bed rails properly to prevent residents from falling out of bed. . The RN did the assessment and documented her results. The administrator had another RN change the documentation done initially by the RN in question.

Long Term Care 97

Long Term Care Medicaid Medicare Nursing Administration 97

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. The realities of today’s long-term care environment. The proposed requirements do not reflect LPNs in the HPRD.

Long Term Care 106

Long Term Care LPN Medicaid Licensing 106

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

IntelyCare

MAY 1, 2024

Nearly eight months have passed since The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to set minimum staffing standards for nursing homes. Providing documentation of its financial commitment to staffing. At the time, the proposed CMS staffing mandate was met with criticism from all sides.

Long Term Care 101

Long Term Care Licensing Medicaid Medicare 101

American Nurse

OCTOBER 2, 2023

1980s: Kennedy lesion Fast forward to the 1980s, when Karen Lou Kennedy, a nurse practitioner in a 500-bed mid-Western long-term care facility, observed that some residents rapidly developed skin breakdown, usually on their buttocks, and died within 6 weeks to months.

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

Health Leaders | Nursing

DECEMBER 3, 2024

billion a year, a 2% increase in expenses, though the changes do not include increases in federal Medicare or Medicaid payments. Staffing is everything in terms of nursing-home quality," said R. The federal government estimates the average annual cost over a decade to meet the Biden mandate would be $4.3 based nonprofit.

Long Term Care 52

Long Term Care Medicare Medicaid 52