Accountability, Nursing, Prevention and Rehabilitation

Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

Briggs Healthcare

AUGUST 19, 2022

Five individuals and two for-profit skilled nursing facilities in Southwestern Pennsylvania have been indicted by federal grand jury in Pittsburgh on charges of conspiracy to defraud the United States and related health care fraud charges, United States Attorney Cindy K. Lebanon Rehabilitation and Wellness Center. as co-defendants.

Nursing

Nursing Rehabilitation Medicaid Medicare

How CommonSpirit Reduced Medicare Spending by $136M

Home Health Care

AUGUST 30, 2021

Under the MSSP, CommonSpirit has improved care outcomes for 335,000 Medicare beneficiaries through its 14 accountable care organizations (ACOs). Ultimately, the goal is to produce better health outcomes, prevent medical errors and avoid unnecessary duplication of services, as well as to cut overall health care costs.

Medicare

Medicare Rehabilitation Home Care Accountable Care

HCPCS vs CPT: Everything You Need to Know

Etactics

DECEMBER 1, 2023

Preventing denial codes is essential if you want to keep a steady revenue flow. This is an easily preventable billing error, which we are going to go over in this blog. H Codes - Rehabilitative services. R0070 - The transportation of personnel and portable X-ray equipment to nursing homes or other residency.

Medicare

Medicare Medicaid Medical Services Prevention

HIPAA Criminal Penalties: Possible Violations with Real Examples

Etactics

DECEMBER 9, 2021

Category 1 Example - Blabbermouth (Possible Scenario) Imagine that you’re a security guard who works for a rehabilitation center. Category 2 The second category results from a breach that the organization should’ve been aware of, but couldn’t have prevented even with proper due diligence. via Legal Information Institute.

Regulations

Regulations Accountability Hospitals Prevention

Expanded Federal Investment in Home and Community-Based Services: State Approaches to Serve Children and Youth

NASHP

JULY 22, 2022

Rehabilitative services. Private-duty nursing. 21] The direct care workforce includes nurse aides, home health aides, and personal care aides. Additionally, registered nurses and therapists are often providers of more clinically intensive HCBS for CYSHCN.[22] Personal care services (including self-directed).

Medicaid

Medicaid Rehabilitation Nursing Medicare

Creating a Roadmap for the End of the COVID-19 Public Health Emergency

Briggs Healthcare

AUGUST 19, 2022

One example is the reporting requirement for nursing homes, which initially became effective on May 8, 2020, when CMS published an interim final rule with comment. The requirement for nursing homes to report resident and staff infections and deaths related to COVID-19 would have ended with the PHE. and Arjun Srinivasan, M.D.,

Medicaid

Medicaid Medicare Nursing Rehabilitation

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

NASHP

APRIL 15, 2022

ECM will be delivered through the managed care 1915(b) waiver and contracting with MCPs and is accounted for in capitation rates. Nursing Home Residents Transitioning to the Community. Nursing facility residents who are strong candidates for successful transition back to the community and have a desire to do so.

Medicaid

Medicaid Public Hospital Hospitals Nursing

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

NASHP

OCTOBER 20, 2022

Partnerships are strongest when they are based on a collective impact model, focusing on a common vision and developing shared accountability. 18] This study involved collaboration with accountable care organizations, MCOs, the state Medicaid agency, community-based organizations, and other stakeholders. Leveraging Data and Technology.

Medicaid

Medicaid Integration Quality Improvement Accountability

Behavioral Health System Modernization along the Continuum

NASHP

MARCH 22, 2024

The commission was created in the New Hampshire Legislature in 2000 (NH RSA Chapter 12-J), which established the Alcohol Fund, directing a part of proceed from sales of alcohol to prevention, harm reduction treatment, and recovery services. An action plan dashboard tracks targets.

Medicaid

Medicaid Integration Primary Care Nursing

Planning for 2023: 10 Advanced Strategies for Marketing & Advertising

Healthcare Success

NOVEMBER 7, 2022

But what you might not know is that seniors are the fastest-growing demographic using social media : 84% of Baby Boomers have a Facebook account 82% of seniors say YouTube is their preferred online video site and are more likely to engage with a post if it includes a video. Add staff recruitment into the marketing budget.

Doctors

Doctors Integration Healthcare Nursing

A Model Act for State Oversight of Proposed Health Care Mergers

NASHP

NOVEMBER 12, 2021

Health care services” means supplies, care, and services of medical, behavioral health, substance use disorder, mental health, surgical, optometric, dental, podiatric, chiropractic, psychiatric, therapeutic, diagnostic, preventative, rehabilitative, supportive or geriatric nature. Section 2: Notice. (A)

Regulations

Regulations Rehabilitation Accountable Care Hospitals

State Strategies to Support OUD Treatment across the Criminal Legal System

NASHP

DECEMBER 20, 2022

States are taking steps to provide additional prevention, treatment, and recovery services to higher-risk individuals with opioid use disorder (OUD), including those in contact with the criminal legal system. Community Services and Prevention (Intercept 0). Across states, drug violations have led to most arrests in recent years.

Medicaid

Medicaid Prevention Integration Hospitals

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

Sheppard Health Law

NOVEMBER 13, 2023

As part of its Behavioral Health Strategy , CMS aims to improve access and quality of mental health care and services, such as substance use disorder prevention and treatment services. 2] A NOMNC ordinarily outlines the appeal process as well as a deadline by which an enrollee should submit his/her appeal. [3]

Medicare

Medicare Medicaid Regulations Integration

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

JUNE 22, 2022

Accountable Health Communities Health-Related Social Needs Screening Tool (AHC HRSN) . For each prioritized goal, identify actions/strategies, accountable persons (including subspecialists and community partners), and the timeline for completing the actions: Goals. Accountable Person. Short-Form 12 (SF-12) Survey *.

Care Transition

Care Transition Medicaid Doctors Regulations

Health Care Quality Digest

Five Individuals and Two Nursing Facilities Indicted on Charges of Conspiracy to Defraud the United States and Health Care Fraud

How CommonSpirit Reduced Medicare Spending by $136M

Trending Sources

HCPCS vs CPT: Everything You Need to Know

HIPAA Criminal Penalties: Possible Violations with Real Examples

Expanded Federal Investment in Home and Community-Based Services: State Approaches to Serve Children and Youth

Creating a Roadmap for the End of the COVID-19 Public Health Emergency

CalAIM: Leveraging Medicaid Managed Care for Housing and Homelessness Supports

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN): Proceedings from the National Forum on Care Coordination for CYSHCN

Behavioral Health System Modernization along the Continuum

Planning for 2023: 10 Advanced Strategies for Marketing & Advertising

A Model Act for State Oversight of Proposed Health Care Mergers

State Strategies to Support OUD Treatment across the Criminal Legal System

CMS Promotes Competition, Transparency, Health Equity and More in the CY2025 Medicare Advantage and Part D Proposed Rule

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

Stay Connected