Daily Nurse

APRIL 24, 2023

Centers for Medicare and Medicaid Services. Document your patient care assessments, observations, communications, and actions in an objective, timely, accurate, complete, and appropriate manner. Remind patients to seek emergency treatment if a condition worsens, and document this action.

Malpractice 136

Malpractice Nurse Practitioner Long Term Care Medicaid 136

American Medical Compliance

DECEMBER 26, 2023

What you will learn: Situations where the No Surprises Act applies Specific requirements for compliance with the No Surprises Act Billing and payment processes under the No Surprises Act The importance of accurate documentation Details Course length: 45 minutes.

Health Insurance 52

Health Insurance 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

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 95

Long Term Care Licensing Medicaid Medicare 95

Nurse.com

OCTOBER 12, 2023

Be sure to take pertinent documents with you to the consultation, including copies of the old policies and procedures. In addition, Medicare and Medicaid certification may be threatened if the policies are not managed correctly.

Medicaid 52

Medicaid Medicare 52

American Nurse

DECEMBER 8, 2023

The Centers for Medicare & Medicaid Services won’t reimburse hospitals for the care of this condition and may apply a value-based penalty fee. Comprehensive documentation of any dysfunction in skin integrity aids early diagnosis and prompt treatment to improve overall outcomes.

Clinical Nurse Specialist 98

Clinical Nurse Specialist Medicaid Medicare Communication 98

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

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 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

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 Medicaid Best Practices 52

Relias

FEBRUARY 26, 2024

” The Centers for Medicare and Medicaid Services (CMS) defines care coordination more holistically as “the process of ensuring that the patient’s health needs and preferences for health information and services are met across the continuum of care.”

Care coordination 52

Care coordination Patient Satisfaction Self-Care Emergency Care 52

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Documentation of this distribution is required. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses. Medicare Advantage and Part D sponsors have to provide FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

American Medical Compliance

FEBRUARY 15, 2023

The Centers for Medicare and Medicaid Services (CMS) require FWA training. Documentation of this distribution is required. Abuses create a variety of issues, including: Wasteful Medicaid and Medicare program expenses. Medicare Advantage and Part D sponsors have to provide FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

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

Celayix

FEBRUARY 7, 2023

There is also the patient family, and the patient insurance provider, or the government in the case of Medicare or Medicaid. It can help to document everything so that you can review this with your patient later. This helps to ensure that the complaint is properly addressed, and that the resolution is documented for future reference.

Home Healthcare 52

Home Healthcare Medicaid Business 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 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

Hospital Recruiting | Nursing

APRIL 1, 2020

The emergency decision by the Center for Medicare and Medicaid Services (CMS) on March 17, 2020 (and retroactively in effect beginning March 6, 2020) to pay for telehealth visits outside of rural areas has eased physician concern.

Telemedicine 72

Telemedicine Medicaid Medicare Licensing 72

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

Relias

OCTOBER 28, 2022

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Documentation in the medical record.

Care coordination 52

Care coordination Communication Medicaid Medicare 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 Telemedicine Clinical Nurse Specialist 59

Relias

APRIL 18, 2022

Providing consistent, evidence-based care and thorough documentation. Avoiding penalties and legal risks that go along with inaccurate assessments, incomplete documentation, and preventable pressure injuries. Knowing how to correctly document wound care assessments and actions taken will protect the clinician and the organization.

Education 52

Education Medicare Promotion Medicaid 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

American Nurse

APRIL 2, 2024

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. ANA considers these numbers a first step toward direct reimbursement for nursing services from Medicare and Medicaid.

Health Insurance 52

Health Insurance Chief Nursing Officer Medicaid Medicare 52

Relias

APRIL 28, 2023

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. All such checks should be documented as well.

Medicare 98

Medicare Long Term Care Medicaid Promotion 98

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Your work may uncover specific care providers who may need additional education and training to improve documentation and reduce associated risk,” she said.

Medicare 52

Medicare Medicaid Self-Care Education 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.”

Patient Satisfaction 52

Patient Satisfaction Patient Experience Medicare Self-Care 52

Healthcare Law Insights blog

JULY 7, 2023

Importantly, although the court assumed the relator engaged in some protected activity, the court found that in many of her communications she, at most, characterized discrepancies in therapy documentation as mistakes or possible computer glitches, not fraud. Another noteworthy FCA decision is out of the Sixth Circuit.

Pharmaceutical 52

Pharmaceutical Medicare Medicaid Communication 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

Relias

AUGUST 29, 2022

The Commonwealth Fund reported that organizations are already gearing up to request additional federal funding for supplemental coverage for Medicaid patients to help alleviate the impact on low-income patients, people of color, and other underserved populations and help them get the care they need. In the longer term, education is critical.

Medicaid 84

Medicaid Education 84

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

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. Successful agencies recognize that long-term success depends on meeting required clinical regulations and having staff with the home health specializations to meet shifting client needs.

Medicare 52

Medicare Business Medicaid Professional Development 52

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

American Nurse

OCTOBER 4, 2023

With most, if not all, data needed for scoring already documented in a patient’s chart, nurses can proactively enter information into an online or mobile calculator if the scoring tool isn’t currently embedded in the EHR. If any data aren’t available during the clinic visit, nurses can recommend that the provider order lab tests.

Health Literacy 98

Health Literacy Self-Care Education Medicaid 98

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

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. Consider your organization–assigned document or individual staff member? It’s more like stale coffee and the gentle clicking of keys on the computer.

Best Practices 52

Best Practices Education Medicaid Medicare 52

American Nurse

OCTOBER 2, 2023

The SCALE document proposes that the skin isn’t impervious to dysfunction at the end of life and may include varying degrees of skin and tissue damage, including pressure injuries. The result can include large and unusual presentations of skin failure.

Long Term Care 105

Long Term Care Malpractice Nurse Practitioner Medicaid 105

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