Elder Care Matters

NOVEMBER 2, 2022

Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023. That’s welcome news for seniors living on a fixed income and struggling with dramatic price increases on, well, everything.

Medicare 64

Medicare Senior Living Medicaid Long Term Care 64

American Nurse

MAY 8, 2023

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. Medicare, the largest payer of medical expenses in the United States, provides primary health insurance for more than 60 million beneficiaries.

Medicare 52

Medicare Medicaid Patient Experience Home Healthcare 52

Elder Care Matters

MAY 2, 2022

I’m often surprised how many people are shocked to learn that Medicare and Supplemental Insurance does not cover Long-Term care costs. Medicare and Supplemental… The post Does Medicare and Supplemental Insurance Pay for Long-Term Care? appeared first on Elder Care Directory - ElderCareMatters.com.

Long Term Care 79

Long Term Care Medicare Retirement 79

Nursing Review

JANUARY 30, 2023

The government's medicare overhaul could give nurses a more prominent role in diagnosing and prescribing medication for patients in healthcare settings. Health Minister Mark Butler established the 'Strengthening Medicare Taskforce' in July last year to design a new model of a 'modernised Medicare.'

Medicare 52

Medicare 52

Nursing Review

OCTOBER 30, 2023

Existing Canberra walk-in health clinics will be able to treat a wider range of conditions through merging with new Medicare Urgent Care Clinics (Medicare UCCs). The scheme will be joint funded by the ACT government and will attract an extra $7.1m in federal government funding over three years to the sites from early 2024. “We

Medicare 52

Medicare Nurse Practitioner Long Term Care 52

Healthcare Law Insights blog

NOVEMBER 22, 2022

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

Medicare 52

Medicare Medicaid Mental Health 52

Nurse Practitioners in Business

FEBRUARY 1, 2023

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. But for NPs, is it really? That the rule had always taught me that NPs could not opt for “non-participating” provider status.

Medicare 221

Medicare Nurse Practitioner APRN Business 221

The Nursing Site

MARCH 18, 2024

The hospital, Vanderbilt University Hospital, neglected to report the Sentinel Event (death) to Medicare and consequently filed no Plan of Correction which led to a renewed focus on the event as possible Medicare fraud. Protocols were ignored.

Medicare 204

Medicare Licensing Nurse Educator Education 204

Nurse Practitioners in Business

MARCH 22, 2024

You must submit self-employment taxes, comprised of Social Security and Medicare taxes, to the IRS at set intervals (four times) during the year. You will also pay payroll taxes, which are comprised of Social Security and Medicare taxes, on your salary.

Business 195

Business Medicare Nurse Practitioner Private Practice 195

Nurse Practitioners in Business

FEBRUARY 24, 2024

The most significant growth in those needing healthcare is the geriatric population, and most of them will have Medicare and seek providers accepting Medicare. (By By the way, all providers, by law, must accept Medicare unless they intentionally and formally opt out.

Medicare 195

Medicare Starting a Practice Business HIPAA 195

Nurse Practitioners in Business

OCTOBER 5, 2023

Topic Resources Start your practice with a Framework The Beginner’s Guide to Reading & Understanding Financial Statements Knowing Your Numbers: Payer Mix and Cost per Patient The Dark Side of Medicare Advantage Plans A Marketing Checklist More Resources Catch up on all the NP Business Matters podcasts here.

Business 221

Business Nurse Practitioner Medicare 221

American Medical Compliance

APRIL 24, 2024

Also, it prohibits providers from exchanging from any form of remuneration to induce or reward providers for the referral of patients for services and products covered by the federally funded healthcare programs, such as Medicare and Medicaid.

Medicaid 52

Medicaid Medicare Self-Care Federal healthcare 52

Health Leaders | Nursing

FEBRUARY 6, 2023

The hospital association says it is focusing advocacy on workplace violence, Medicare residency slots, the nursing shortage, and workforce diversity. Increasing Medicare residency slots The AHA is also focusing on increasing the number of residency slots eligible for Medicare funding to address physician shortages, she says. "We

Medicare 105

Medicare Nurse Shortage Retirement Education 105

Healthcare Law Insights blog

JUNE 22, 2023

On June 14, 2023, a federal jury found that a Georgia physician knowingly violated the False Claims Act following a two-week trial on allegations that he made false claims to the Medicare Program. This lack of review or audit, according to the physician defendant, meant that use of chelation therapy was not “material” in the eyes of Medicare.

Medicare 52

Medicare 52

Capitol Beat

FEBRUARY 26, 2024

The NPI is a unique provider number assigned by the Centers for Medicare and Medicaid Services (CMS). An NPI is required to bill Medicare, Medicaid, and many private insurers. It is beyond time to push health care financing systems to pull nursing services out from behind physician and other charges.

Medicaid 86

Medicaid Medicare APRN Health Outcomes 86

Daily Nurse

JULY 27, 2023

This legislation would strengthen healthcare access for Medicare and Medicaid beneficiaries by removing federal barriers to practice for nurse practitioners (NPs) and other advanced practice registered nurses (APRNs). Merkley (D-OR) and Lummis (R-WY) for introducing the Improving Care and Access to Nurses (ICAN) Act in the U.S.

Medicare 68

Medicare Medicaid APRN Nurse Practitioner 68

American Nurse

JULY 26, 2023

Because Medicare doesn’t cover weight loss medications and they can cost more than $10,000 a year, seniors’ ability to get the new drugs is restricted. There is an exception: Medicare will cover Ozempic and Mounjaro if an older adult has diabetes, because the insurance program pays for diabetes therapies. “We

Medicare 98

Medicare 98

American Nurse

SEPTEMBER 27, 2023

Despite the evils of the pandemic, one important change was the expansion of private insurance reimbursement for telehealth services as well as Medicare and Medicaid expansion to reduce previously prohibitive barriers of telehealth services. References Centers for Medicare & Medicaid Services. March 17, 2020.

Medicare 116

Medicare Telemedicine Medicaid Communication 116

Healthcare Law Insights blog

DECEMBER 28, 2023

The Justice Department took that rare step in Maryland in connection with a practice in which Dr. Ron Elfenbein, a physician, billed Medicare and private payors a Level 4 E/M for patients receiving COVID-19 tests. But unlike some CPT codes, E/M CPT codes are imprecise.

Medicare 64

Medicare 64

Healthcare Law Insights blog

AUGUST 15, 2023

Large managed care plans have been squarely in DOJ’s crosshairs for years, but a late July 2023 Justice Department settlement agreement with one regional healthcare provider’s Medicare Advantage Plan offers a glimpse into an issue health systems and providers with their own managed care plans need to track. million for her share. [3]

Medicare 52

Medicare 52

American Nurse

MARCH 13, 2024

A recent JAMA Network study found that sick people 85 and older were less likely than younger Medicare patients to get covid therapies like Paxlovid. In fact, the drug is still free for those who are uninsured or enrolled in Medicare, Medicaid, or other federal health programs, including those for veterans.

Medicare 111

Medicare Medicaid Senior Living Long Term Care 111

Health Leaders | Nursing

SEPTEMBER 11, 2023

of full-time NPs seeing Medicare patients and 82% seeing Medicaid patients. Senate in April and would allow NPs, physician assistants, and other APRNs to provide particular services under Medicare and Medicaid. "We are up to more than 355,000 nurse practitioners across the U.S.

Nurse Practitioner 144

Nurse Practitioner APRN Medicare Medicaid 144

Healthcare Law Insights blog

APRIL 28, 2023

Due to the COVID-19 pandemic, emergency declarations, legislation, and regulatory waivers across government agencies, including the Centers for Medicare & Medicaid Services (CMS), allowed for flexibility in the delivery of care to patients, including the expanded use of telehealth. Medicare 1. Reimbursement A.

HIPAA 52

HIPAA Medicare Medicaid Telemedicine 52

Daily Nurse

JUNE 30, 2023

NPs provide high-quality healthcare to Medicare and Medicaid patients across all geographic areas and healthcare settings. NPs provide high-quality healthcare to Medicare and Medicaid patients across all geographic areas and healthcare settings. The ICAN Act is improving care and access to nursing.

Medicare 73

Medicare APRN Medicaid Nurse Practitioner 73

American Medical Compliance

JANUARY 9, 2024

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. This wastes taxpayer money and interferes with your medical care. trillion in 2015.

Medicare 52

Medicare Medicaid Health Insurance Communication 52

Relias

OCTOBER 25, 2021

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare 97

Medicare Holistic Care Medicaid Communication 97

Nurse Practitioners in Business

JULY 5, 2023

So basically…are you doing everything you should be doing, not only in the types of care you are providing but also in the business aspect of your practice?

Business 370

Business Medicaid Medicare Self-Care 370

Scrubs

AUGUST 6, 2023

As part of this effort, the Centers for Medicare & Medicaid Services (CMS) launched a program to incentivize healthcare professionals to adopt the latest technology – namely, electronic health records (EHRs). Providers can also reduce certain Medicare/Medicaid fees by participating in the program.

Medicaid 98

Medicaid Medicare Care coordination Business 98

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

American Medical Compliance

FEBRUARY 15, 2023

The impact of these losses and risks magnifies as Medicare continues to serve a growing number of beneficiaries. Even organized crime groups infiltrate the Medicare Program and operate as Medicare providers and suppliers. The Centers for Medicare and Medicaid Services (CMS) require FWA training.

Medicare 52

Medicare Medicaid Pharmaceutical Federal healthcare 52

Nurse Practitioners in Business

APRIL 12, 2024

Navigating the credentialing process in a timely manne r so you can accept commercial insurance and Medicare/Medicaid. Creating positive patient experiences, from scheduling appointments to follow-up care, to grow the practice. Deciding what types of insurance (malpractice, liability, property) you need and how to choose the proper coverage.

Starting a Practice 195

Starting a Practice Nurse Practitioner Business Malpractice 195

Health Leaders | Nursing

FEBRUARY 24, 2023

The recent bipartisan Save America’s Rural Hospitals Act includes a provision to permanently remove physician supervision of Certified Registered Nurse Anesthetists (CRNAs), under Medicare Part A conditions of participation. This legislation would permanently end Medicare cuts that have devastated small-town hospitals,” said U.S.

Medicaid 105

Medicaid Medicare 105

American Nurse

DECEMBER 7, 2023

A universal healthcare plan similar to Medicare could provide basic, free healthcare to all U.S. Medicare has been successful in controlling hospital and physician reimbursement rates and, according to a film produced by Unfinished Business, the U.S. citizens with an option for supplementary insurance.

Medicare 52

Medicare Health Insurance Pharmaceutical Business 52

Council of Public Health Nursing Organizations

MARCH 8, 2024

Hospitals within a rural area with not more than 50 beds or that closed after December 27, 2020, can seek designation as a REH as long as they meet the conditions of participation to participate in Medicare and Medicaid programs. Centers for Medicare & Medicaid Services. References NC Rural Health Research Program. Government.

Medicaid 52

Medicaid Medicare Emergency Care Promotion 52

American Medical Compliance

AUGUST 1, 2022

In Spring 2022’s Semiannual Report to Congress (SAR), the Department of Health and Human Services’ Office of Inspector General (HHS-OIG) reported that nearly $3 billion had been misspent on Medicare and Medicaid services. HHS Examines Medicare Spending and COVID-19 Tests. Increased Telehealth Services.

Medicare 52

Medicare Medicaid Federal healthcare Education 52

Nurse Practitioners in Business

JULY 13, 2023

For example, a practice might be able to respond quicker to new Medicare rules since potential threats were identified earlier through the business planning process. A business plan allows the company to adapt to change, identify opportunities, anticipate potential problems, and develop strategies to solve them.

Business 367

Business Nurse Practitioner Medicare Retirement 367

Capitol Beat

FEBRUARY 28, 2023

Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. Some of these waivers had previously expired, but ANA is still advocating to change the law and make them permanently part of the Medicare program. The main waivers are: Physician Services.

APRN 101

APRN Medicaid Medicare Resume 101