Remove Health Insurance Remove Medicaid Remove Medicare
article thumbnail

Implications of Health Systems Losing their Non-Profit Status

Emerging RN Leader

Sherman, EdD, RN, NEA-BC, FAAN Health systems are facing serious headwinds this year with potential cuts to Medicare, Medicaid, and the federal subsidy of health exchanges. A declining economy also threatens the jobs of a significant number of workers in the US and, with it, their health insurance.

article thumbnail

What Is A Clearing House & Do You Need One?

Nurse Practitioners in Business

A clearinghouse or, in healthcare, a medical billing clearinghouse, acts as a middleman between your practice and health insurance companies. The clearinghouse reviews, formats, and securely transmits your electronic claims to payers (insurance companies) after youve submitted them through your EHR or billing system.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How to Conduct Effective Compliance Audits 

American Medical Compliance

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

article thumbnail

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The Centers for Medicare & Medicaid Services (CMS) rescinded key guidance on March 4, 2025, affecting Medicaid and Childrens Health Insurance Program (CHIP) coverage for services addressing health-related social needs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

article thumbnail

The Relentless School Nurse: Crippling Science – CDC’s Workforce Cuts Amidst Rising Health Threats

The Relentless School Nurse

Advanced Research Projects Agency for Health (ARPA-H) : ARPA-H aims to accelerate health research and development. Centers for Medicare & Medicaid Services (CMS) : CMS administers Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).

article thumbnail

Healthcare Policy: What Is It and Why Is It Important?

University of St. Augustine for Health Sciences

Subcategories of health policy include public health, global health, healthcare services, health insurance, mental health and pharmaceuticals. How Does Health Policy Impact Patients? Below, we explore a few major health policy issues impacting Americans today. In fact, approximately 9% of U.S.

article thumbnail

Section 1557 Compliance for Healthcare Providers by July 5, 2025 

American Medical Compliance

Health Insurance Providers : Companies providing health coverage plans. Medicare and Medicaid Participants : Entities receiving payments through these federal programs. Any Organization Receiving HHS Funding : This encompasses a wide range of healthcare-related services and programs.