Electronic Health Reporter

JANUARY 17, 2019

The Patient Driven Payment Model (PDPM) is more than just a new name attached to Medicare payment reform. The shift from Resource Utilization Group (RUG) IV to PDPM moves the skilled nursing reimbursement model away from therapy provision as its main driver. Instead, payment will be determined […].

Nurses 184

Nurses Medicare Medicare 184

Compliancy Group

FEBRUARY 12, 2025

The Office of Inspector General (OIG) released an updated Nursing Facility Industry Compliance Program Guidance (ICPG) in November 2024 to assist nursing facilities in navigating the complex regulatory landscape and mitigating compliance risks. The ICP covers the areas listed below.

Nurses 52

Nurses Compliance Medicare Medicare 52

Healthcare IT News - Telehealth

NOVEMBER 8, 2021

National Nurses United and the California Nurses Association released a joint statement this past week criticizing Kaiser Permanente's aims to expand advanced hospital services into patients' homes. "Nurses, more than any other healthcare staff, spend the most time with patients," said the unions in the statement.

Nurses 192

Nurses COVID-19 Patient Satisfaction Hospitals 192

Compliancy Group

OCTOBER 28, 2024

Its compliance program guidance (CPG) has improved the efficiency and effectiveness of Medicare and many other federal programs. Last November, the OIG published industry-specific compliance guidance for 2024 for several healthcare subsectors, including nursing homes and facilities.

Nurses 52

Nurses Compliance Nursing Homes Compliance Officers 52

Bill of Health

OCTOBER 19, 2023

Advanced practice providers, such as Advanced Practice Nurses (APRNs) and Physician Assistants (PAs), are helping to fill that void. There are approximately 370,000 nurse practitioners that are licensed in the United States, and that number is growing. By Stephen Wood The number of physicians in the U.S. annually.

Nurses 279

Nurses Medicare Medicare Medicaid 279

Hall Render

MARCH 27, 2025

The Centers for Medicare & Medicaid Services (CMS) has given surveyors additional rules and updates to allow surveyors to assess and cite violations of the regulations on nursing homes with admission agreements that create prohibited third-party guarantee of resident payments.

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

Healthcare It News

APRIL 29, 2024

A nurse by training, Tim Ashe, chief clinical officer at Wellsky, knows the challenges that burnout, staffing shortages and bed capacity have on clinicians and the health system.

COVID-19 260

COVID-19 Medicaid Medicaid Nurses 260

Healthcare Blog

JANUARY 19, 2025

CMS Medicare Swing Bed Rules and Regulations for Critical Access Hospitals (CAHs) Critical Access Hospitals (CAHs) are the backbone of rural healthcare, providing essential services to underserved communities. For patients, swing beds reduce the stress and logistical challenges of being transferred to a separate skilled nursing facility.

Medicare 52

Medicare Medicare Compliance Nurses 52

Hall Render

MARCH 10, 2025

On March 7, 2025, the Centers for Medicare & Medicaid Services (CMS) posted a memo dated March 10, 2025, that gives nursing homes and surveyors more time to prepare for implementation of new rules and updates to allow surveyors to add extra attention and increase oversight in nursing homes.

Nursing Homes 52

Nursing Homes Nurses Medicaid Medicaid 52

Hall Render

APRIL 17, 2025

On April 17, 2025, the Centers for Medicare & Medicaid Services (CMS) extended the due date to complete and submit the new Form CMS-855A SNF Disclosures Attachment for every Skilled Nursing Facility (SNF). Hall Renders overview of the Medicare disclosure requirements for SNFs can be found here , here and here.

Nurses 52

Nurses Medicare Medicare Medicaid 52

Fierce Healthcare

NOVEMBER 23, 2021

Private-equity-acquired nursing homes have worse resident outcomes, higher Medicare costs, study finds. Tue, 11/23/2021 - 15:53.

Nursing Homes 105

Nursing Homes Nurses Medicare Medicare 105

Healthcare It News

NOVEMBER 29, 2023

million in savings across multiple Medicare and Medicare Advantage plans, according to an announcement Wednesday. That saved Franciscan $481,000 for its MSSP population and $388,000 for its Medicare Advantage population and avoided a total of 75 inpatient visits across both populations during the measuring period.

COVID-19 298

COVID-19 Medicare Medicare Nurses 298

Hall Render

MARCH 20, 2025

In December 2024, the Centers for Medicare & Medicaid Services (CMS) made many revisions to its Guidance for SNF Attachment on Form CMS-855A (Guidance). Nurse staffing company providers : The Guidance addresses whether nurse staffing companies need to be disclosed, stating that nurse staffing companies are considered an ADP.

Nurses 52

Nurses Medicaid Medicaid Medicare 52

Fierce Healthcare

JANUARY 28, 2022

Medicare patients win the right to appeal gap in nursing home coverage. Fri, 01/28/2022 - 10:59.

Nursing Homes 89

Nursing Homes Nurses Medicare Medicare 89

Healthcare IT News - Telehealth

APRIL 10, 2020

The Centers for Medicare and Medicaid Services has temporarily suspended several regulations to enable hospitals, clinics and other providers to boost their front-line medical staff during the coronavirus pandemic. "It’s all hands on deck during this crisis," said CMS Administrator Seema Verma in a statement.

Nurses 216

Nurses Medicare Medicare Licensing 216

Healthcare Blog

OCTOBER 31, 2024

It can also result in costly fines, a tarnished reputation, and exclusion from essential federal programs like Medicare. Address the Nursing Shortage Another reason for the importance of staff education in healthcare is keeping the hardworking nurses you currently have. Experts predict a shortage of almost 79,000 nurses by 2025.

Regulatory Compliance 91

Regulatory Compliance Nurses Compliance Malpractice 91

Healthcare IT News - Telehealth

APRIL 30, 2019

The skilled nursing sector has undergone a major transition over the past ten years. Because of shifting demographics and the challenges they place on hospitals, skilled nursing facilities are receiving patients who are struggling with more significant health concerns than in the past. THE PROBLEM. "It’s a win-win.

Telemedicine 157

Telemedicine Nurses Nursing Homes Hospitals 157

Modern Healthcare

JULY 31, 2023

Skilled nursing faciltiies will receive a higher Medicare pay bump in fiscal 2024 than proposed by the Centers for Medicare and Medicaid Services in April.

Nursing Homes 80

Nursing Homes Medicare Medicare Nurses 80

Healthcare It News

AUGUST 29, 2024

ADHA names nursing adviser The Australian Digital Health Agency (ADHA) has appointed Karen Booth as its first chief clinical adviser for nursing. Dr Frean will stay as non-executive director of HL7 Australia's board, according to a media release.

Nurses 262

Nurses Health Outcomes Medicare Medicare 262

Fierce Healthcare

APRIL 23, 2024

Medicaid managed care plans and the Children’s Health Insurance Program (CHIP) will be subject to new wait time standards and quality ratings requirements, the Centers for Medicare & Medicaid S | CMS defended implementing stronger rules over nursing home staffing as well as explained its thoughts behind Medicaid access and managed care rules.

Nursing Homes 119

Nursing Homes Nurses Medicaid Medicaid 119

Healthcare It News

SEPTEMBER 27, 2024

" Last year, the Strengthening Medicare Task Force also called for the modernisation of the "clunky" digital health records system. This digital project is part of CALHN's CAN Connect virtual nursing service. The platform will also support risk stratification to better identify and assist high-risk patients.

Nurses 297

Nurses Governance Public Health Medicare 297

Healthcare It News

DECEMBER 6, 2023

As an FQHC, Evara did not qualify for reimbursement from Medicare. "Our value-based services nursing team then monitors these patients in between MH@H visits," Rubin noted. When a nurse sees an alert, they contact the patient directly to see what is happening. There are two such cases Rubin can highlight.

Nurses 315

Nurses Medicaid Medicaid Hospitals 315

MedTrainer

AUGUST 8, 2024

As of March 2024, over 67 million in the United States are Medicare beneficiaries. Medicare is the single largest payer for healthcare services in the United States. In FY2021, the Centers for Medicare and Medicaid Services ( CMS ) reported that Medicare processed more than 1.1 Here’s what you need to know.

Medicare 93

Medicare Medicare Compliance Medicaid 93

Fierce Healthcare

SEPTEMBER 22, 2023

A Florida nurse practitioner was convicted this week by a federal jury for her participation in a $200 million healthcare fraud scheme. Elizabeth Hernandez, 45, ordered more cancer genetic tests than any other provider in the nation during 2020 and "routinely" billed over 24 hours of office visits in a single day," DOJ said.

Nurses 96

Nurses Medicare Medicare Fraud 96

Healthcare It News

APRIL 5, 2024

Based on its initial investigation, the following information may have been accessed by hackers: name, address, birth date, email, telephone number, marital status, Aboriginal status, Medicare number, referring doctor, and type of diabetes.

COVID-19 310

COVID-19 Medicare Medicare Hospitals 310

Healthcare IT News - Telehealth

MARCH 18, 2020

On Tuesday, Centers for Medicare and Medicaid Services expanded its Medicare telehealth coverage during the COVID-19 pandemic to enable more patients to get virtual care services from their providers. ON THE RECORD.

COVID-19 217

COVID-19 HIPAA Nursing Homes Medicare 217

Hall Render

FEBRUARY 17, 2025

According to a statement released on the Center for Medicare and Medicaid Services (CMS) website, effective February 14, 2025, implementation of the Hospice Special Focus Program for calendar year 2025 has ceased so that CMS may further evaluate the program. The Final Rule added 42 CFR 488.1135 and created the SFP for hospice providers.

Medicare 89

Medicare Medicare Nursing Homes Medicaid 89

Healthcare Blog

FEBRUARY 7, 2023

As a nurse, it is crucial to understand the difference between nursing procedures and policies. Nurses need a basic understanding of the differences between the two concepts. A nursing procedure is a set of steps necessary to carry out a specific activity, such as administering medication.

Nurses 102

Nurses Hospitals Medicaid Medicaid 102

HIT Consultant

AUGUST 6, 2023

Joel Landau, founder and chairman of The Allure Group Nursing homes have embraced technology, especially during the COVID-19 pandemic, to help seniors, staff, and clinicians better communicate with one another and for residents to stay in touch with loved ones. Nursing homes are evolving. percent of U.S.

Nursing Homes 98

Nursing Homes Nurses Medicare Medicare 98

Modern Healthcare

JULY 3, 2023

Nursing homes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates

Medicare 93

Medicare Medicare Nursing Homes Medicaid 93

Fierce Healthcare

JULY 31, 2023

In what the Centers for Medicare and Medicaid Services (CMS) today described as a “parity adjustment recalibration,” the agency said it will

Nursing Homes 98

Nursing Homes Medicare Medicare Nurses 98

McBrayer Law Blog

OCTOBER 18, 2021

More > Tags: Centers for Medicare & Medicaid Services , Civil Penalties , CMS , Healthcare Providers , Long-Term Care , Long-Term Care Facilities , Medicare. For reference, the 2017 Guidance can be found here. The accompanying CMP Analytic Tool can be found here.)

Nursing Homes 96

Nursing Homes Nurses Medicaid Medicaid 96

Hall Render

JANUARY 29, 2025

The Centers for Medicare & Medicaid Services (CMS) is reinforcing its emphasis on hospice quality of care and identifying fraud. Hospice surveys are performed before their initial certification for Medicare participation. Identifying Fraud : Detecting practices that jeopardize patient safety or Medicare program integrity.

Fraud 80

Fraud Medicare Medicare Compliance 80

YouCompli

FEBRUARY 4, 2025

This first ICPG covers Skilled Nursing Facilities and Nursing Facilities. Quality of Care and Quality of Life For decades, the OIG and other government enforcement agencies have emphasized the importance of the quality of care and quality of life for nursing facility residents. Lets review some of the highlights.

Nurses 52

Nurses Overpayments Overpayment Compliance 52

C&M Health Law

SEPTEMBER 11, 2023

Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (“CMS”) issued a much anticipated and contested proposed rule that seeks to establish minimum staffing level requirements for nursing homes. hours of nursing staff per resident per day, or 3.0 HPRD from nurse aids (NAs). [2]

Nursing Homes 98

Nursing Homes Nurses Medicaid Medicaid 98

Medisys Compliance

OCTOBER 1, 2022

Navigating through the complex medicare guidelines can be a complex and overwhelming task, however, here is the good news, the entire process is merely about using the right CPT codes. However, one needs to be careful while billing as Medicare follows strict rules and regulations for time increments. The Concept of Medicare Coverage.

Medicare 98

Medicare Medicare Medical Billing Outsourcing Medical Billing 98

Hall Render

MARCH 4, 2025

Department of Health and Human Services (HHS) issued new Industry Segment-Specific Compliance Program Guidance For Nursing Facilities (Nursing Facility ICPG) for nursing home members of the health care compliance community. Medical Directors in Nursing Homes 42 CFR 483.70(g)

Compliance 52

Compliance Nursing Homes Nurses Medicare 52