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. This involves promoting ethical behavior, encouraging open communication, and having a zero-tolerance policy towards FWA.

Medicaid

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. National Library of Medicine guidance.

Medicare

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

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

Relias

APRIL 18, 2022

Promoting a culture of knowledge and awareness of current standards of wound care. 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. Build Your Reputation as a Specialist.

Education

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

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. By offering evidence-based education, addressing patient concerns, and promoting vaccine accessibility, nurses can significantly reduce the burden of shingles in the communities they serve.

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

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. In sharing provider experiences, ANA made sure to promote nurse and patient wellbeing and safety issues in its comments.

APRN

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 Why do I have to be accredited by an organization like The Joint Commission?

Medicaid

American Nurse

JUNE 13, 2024

Certainly, the concept of advocacy is imbedded in the foundational documents of our profession. The Code of Ethics for Nurses (ANA, 2015) provision 3 indicates, “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient” (p. Social policy pertains to decisions that promote the welfare of the public.

Promotion

The Nurse Break

DECEMBER 20, 2022

I am currently based in Melbourne working as a Clinical Nurse Specialist within a metropolitan ICU, I joined this unit in 2021 as a Critical Care Registered Nurse and was promoted to CNS in 2022. Mostly you will need ID documents to do these applications. Where in Australia/clinical area are you now working?

Clinical Nurse Specialist

Relias

MARCH 12, 2025

For example, the Centers for Medicare and Medicaid Services (CMS) mandate facility assessments in long-term care facilities to ensure that staff competencies align with the needs of the patient population. Regulatory readiness and compliance Regulatory audits and surveys require documented evidence of staff competency.

Long Term Care

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. Contemporary perspectives on poverty. January 31, 2024.

Health Insurance

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

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. Others were concerned that the minimal standards didn’t go far enough to promote safer care. Providing documentation of its financial commitment to staffing.

Long Term Care

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. Currently there is legislation to enable culture change in nursing homes through improving the structural environment and promoting person-centered care.

Long Term Care

American Nurse

FEBRUARY 29, 2024

Takeaways: The 1990 Federal Patient Self Determination Act requires that Medicare- and Medicaid-funded healthcare organizations follow state laws related to advance directives. Advance directives are legal documents that allow adults to record their wishes related to serious illness or end-of-life care. See Patient self-determination.

Self-Care

American Nurse

JULY 3, 2024

Patient-centered care focused on self-sufficiency The Centers for Medicare and Medicaid Services (CMS) uses the term “home health” to describe a federal health insurance program that provides intermittent short-term care to help patients recover from illness and become as self-sufficient as possible at home.

Self-Care

Capitol Beat

FEBRUARY 28, 2025

For our regulatory advocacy, ANAs Policy Team has crafted a priorities document to share with internal and external stakeholders and policymakers. Removing Practice Barriers for APRNs We believe that removing practice barriers for advanced practice registered nurses (APRNs) will promote quality care and help provide proper payment for nurses.

APRN

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. Maternal mortality is closely linked to social and behavioral factors As documented extensively, higher U.S. Sadly, U.S.

Medicaid

Scrubs

JUNE 21, 2023

22, three FDA inspectors arrived at the sprawling Intas Pharmaceuticals plant south of Ahmedabad, India, and found hundreds of trash bags full of shredded documents tossed into a garbage truck. Original Reporting by: Arthur Allen On Nov. Sardella and others have proposed government subsidies to get U.S. generics plants running full time.

Pharmaceutical