Daily Nurse

FEBRUARY 18, 2025

To hold hospitals accountable, the researchers encourage the Centers for Medicare and Medicaid Services (CMS) to consider establishing regulatory standards for nurse staffing as part of their “Birthing-Friendly” designation for high-quality maternity care.

Clinical Nurse Specialist

American Medical Compliance

MARCH 6, 2025

By staying vigilant, you help protect Medicare enrollees, preserve the integrity of the Medicare Program, and safeguard the Medicare Trust Fund. It strictly prohibits intentional payments – whether monetary or in-kind – in exchange for referrals or securing business under programs like Medicare and Medicaid.

Medicare

Health Leaders | Nursing

JULY 9, 2025

Additionally, the passage of the One Big Beautiful Bill Act (OBBBA) will mean dire things for rural hospitals and health systems, and many patients previously enrolled in Medicaid will lose access to coverage. Please join the community at our  LinkedIn page. 

Medicaid

American Medical Compliance

OCTOBER 25, 2024

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.

HIPAA

Relias

JUNE 4, 2025

In todays healthcare landscape, few things are certain especially when it comes to the future of Medicare and Medicaid. Final thoughts on how to improve patient experience As the healthcare industry navigates uncertainty around Medicare and Medicaid, investing in patient experience isnt just good practice its good business.

Patient Experience

Health Leaders | Nursing

JANUARY 7, 2025

Pillar: CNO Image: Tags: DEI government Medicare/Medicaid nurses nursing Secondary Pillars: CNO Article Type: Analysis Published Date: Tuesday, December 17, 2024 Hide sidebars: Render small main image: Tune in to hear her insights.

Medicaid

Elder Care Matters

MARCH 13, 2025

Learn about Medicaid eligibility, the look-back period, and asset protection tips. The post How to Protect Your Loved Ones Assets from Medicaid Spend-Down appeared first on Elder Care Directory - ElderCareMatters.com.

Medicaid

Health Leaders | Nursing

JULY 7, 2025

The  I CAN Act  would remove federal barriers in Medicare and Medicaid programs that prevent APRNs from practicing to their fullest extent. The  PRECEPT Nurses Act  aims to instate a tax credit for nurses who successfully serve as nurse preceptors for nursing students. 

Preceptors

Relias

MAY 29, 2025

million Medicare beneficiaries in the U.S. Wound care providers are entering a new compliance landscape, which will impact 10.5 with chronic wounds.

Medicare

Diversity Nursing

DECEMBER 4, 2024

A recent milestone for the profession is the Centers for Medicare & Medicaid Services (CMS) policy, effective December 1, 2023, which allows Registered Nurses holding a CFCN credential to perform services eligible for Medicare benefits.

Outpatient Clinic

Empowered Nurses

JUNE 12, 2025

T he Political & Tech Landscape External pressures compound the stress: · A staggering 88% of nurses and technicians foresee Medicaid and Medicare cuts hurting their workplace. · . · One hospital in Texas is paying tuition for nursing school. 63% of nurses believe today’s political climate affects their work environment.

Medicaid

American Nurse

JULY 30, 2025

QI project The national, standardized survey Hospital Consumer Assessment of Healthcare Pro­vide­rs and Systems (HCAHPS), endorsed by the Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality, measures patients’ views on their hospital experiences. Its reliability ranges from 0.66

Health Leaders | Nursing

APRIL 15, 2025

On a national level, nurse leaders now find themselves needing to defend Medicare and Medicaid, according to the panelists. Reimbursement and full practice authority policies are also critical, especially for nurse practitioners, to demonstrate the value of nursing.

Medicaid

American Medical Compliance

JUNE 16, 2025

According to a study by the University at Albany, State University of New York , the Centers for Medicare and Medicaid Services (CMS) issued thousands of citations to nursing homes that did not follow mandated infection control protocols during targeted inspections.

Legal Issues

Minority Nurse

NOVEMBER 13, 2024

That includes advocating for legislation to improve federal employees’ timely access to healthcare for workplace injuries and removing Medicare and Medicaid barriers on NPs and other advanced practice registered nurses. A new study from the AANP supports granting greater access to NPs for patient care.

Nurse Practitioner

American Medical Compliance

FEBRUARY 15, 2025

Title XVIII, commonly known as Medicare, provides health coverage for individuals aged 65 and older. Title XIX, better known as Medicaid, offers health coverage for low-income individuals and families, including children and those with disabilities. In this course, we delve into the intricacies of both Medicare and Medicaid.

Medicare

Relias

JULY 15, 2025

While the law has been passed, the Centers for Medicare & Medicaid Services (CMS) is still in the process of defining how the funds will be distributed and what will qualify for reimbursement or grant support.

Medicaid

American Medical Compliance

FEBRUARY 19, 2025

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). As a result, this rule guides how Medicaid will reimburse for case management services.

Medicaid

Nurse Practitioners in Business

JULY 17, 2025

Legal, ethical, and contractual limits, including those established by Medicare , Medicaid , and other insurance fee schedules, may prevent you from increasing prices even if demand would support it. Regulatory and Ethical Constraints Finally, healthcare pricing isn’t as fluid as the pricing in other industries.

Medicaid

The Relentless School Nurse

MARCH 8, 2025

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.

Medicaid

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. About half of homes lose money , according to their reports to Medicare, but some nursing home owners grow rich through clandestine maneuvers to siphon profits into their own pockets.

Long Term Care

Empowered Nurses

JULY 24, 2025

Medicare/Medicaid Exclusion “Since you last renewed, have you been excluded from being a Medicare or Medicaid provider?” If you’ve received a letter or know that you are excluded from treating Medicare/Medicaid patients, you must disclose this. “I wasn’t told” is not an acceptable excuse.

Licensing

Relias

JULY 23, 2025

While federal guidelines, such as HIPAA and reimbursement rules from the Centers for Medicare & Medicaid Services (CMS), set the baseline, telehealth and telemedicine standards are largely governed by state regulatory boards. drugs, supplies, or health care services for Medicare or Medicaid patients).

Best Practices

Health Leaders | Nursing

JANUARY 13, 2025

Registered nurses who work for three years in a qualifying nursing home or in a state agency oversight role can get up to $50,000 in tuition reimbursement and upfront incentive payments from the Centers for Medicare and Medicaid Services, McKnight's Senior Living first reported.

Senior Living

Penn Nursing

DECEMBER 15, 2022

Joined Booze Allen supporting the Center for Medicare and Medicaid Innovation and Oncology Care. Requiring more marketing experience to hold her product management position, returned to Penn for a Marketing certificate from Wharton. Transitioned to Health Informatics, and then moved into Health IT consulting.

Clinical Nurse Specialist

The Relentless School Nurse

NOVEMBER 30, 2024

We, like millions of healthcare providers across the country are sounding the alarm on RFK Jr.

Leadership

Penn Nursing

OCTOBER 14, 2021

On the heels of the American Rescue Plan, which increased Medicaid funding for caregiving services, President Biden and the Democratic Party’s proposed “two-track” infrastructure package would address the shortcomings and inequities of America’s caregiving system at their roots. The state of caregiving in the U.S.

Nurse Practitioner

The Relentless School Nurse

FEBRUARY 15, 2025

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

Medicaid

Health Leaders | Nursing

MARCH 12, 2025

The I CAN Act The Improving Care and Access to Nurses (I CAN) Act is another bipartisan bill that would remove the federal barriers in Medicare and Medicaid programs that stop APRNs from practicing to the full extent of their clinical education and training, according to another press release.

Preceptors

Capitol Beat

APRIL 15, 2025

What is Medicaid? Medicaid provides health care coverage for millions of Americans, with nearly 72 million enrolled in 2024. Every state can choose to offer Medicaid coverage to other populations beyond the federal requirements. Why is Medicaid under threat now ? Why should nurses care about Medicaid cuts?

Medicaid

Capitol Beat

APRIL 18, 2025

1317 ) The Improving Care and Access to Nurses (ICAN) Act would modernize outdated Medicare and Medicaid policies placed on advance practice registered nurses (APRNs) seeking to treat patients to the full extent of their education and training. Take Action for the bill! ICAN Act ( S.

APRN

American Nurse

JUNE 16, 2025

The most frequently observed category of insurance was public Medicare/Medicaid (n = 27, 84.38%). The most frequently observed category of race was Caucasian (n = 22, 68.75%). The most frequently observed category of ethnicity was non-Hispanic/Latino (n = 30, 93.75%).

Nurse Practitioner

American Nurse

JUNE 11, 2025

Florida’s SCD prevalence with Florida Medicaid data shows a rate twice as high than that of the national average (Florida Agency for Healthcare Administration, 2023) and despite advancements, remains a significant health burden on the state’s healthcare system further highlighting the need for improved access, resources, and policies.

Medicaid

American Medical Compliance

MARCH 21, 2025

The Centers for Medicare and Medicaid Services defines transitions of care as the movement of a patient between different healthcare settings, such as from ambulance to emergency department, from intensive care unit (ICU) to medical ward, or from hospital to home.

Communication

American Medical Compliance

MARCH 13, 2025

Medicare and Medicaid Participants : Entities receiving payments through these federal programs. It’s noteworthy that the 2024 Final Rule expanded the definition of covered entities to include providers receiving Medicare Part B payments, marking a significant shift from previous interpretations.

Medicare

The Relentless School Nurse

FEBRUARY 27, 2025

Kennedy’s confirmation hearings were marked by intense scrutiny over his views on vaccines, with senators questioning his understanding of essential health programs like Medicaid and Medicare. Despite his public global anti-vax stance, Kennedy acknowledged during the hearings that vaccines have saved millions of lives.

Medicaid

The Relentless School Nurse

NOVEMBER 20, 2024

Dr. Oz: Snake Oil Salesman in Chief Dr. Mehmet Oz, the TV quack extraordinaire, has been tapped to lead the Centers for Medicare and Medicaid Services. The bigger picture is Trump is purposefully dismantling our federal government. This is akin to appointing a fox to guard the henhouse.

Health Insurance