Briggs Healthcare

JUNE 21, 2023

This upkeep should include regular revisions to the case-mix classification system (the groupings and their relative weights), rebasing payments so that payments remain aligned with the cost of care, and, as noted above, adjustments to address upcoding. The first report, completed by the Commission, was submitted to the Congress in 2016.

Medicare 52

Medicare Rehabilitation Accountability Quality of Care 52

Briggs Healthcare

MAY 30, 2023

acute care hospital, long-term acute care hospital [LTAC], skilled nursing facility [SNF], inpatient rehabilitation facility [IRF]) to their home (e.g., assisted living, adult family home, group home). NOTE: This document provides a draft description of the measure. The potential measure exclusions.

Medicaid 40

Medicaid Rehabilitation Quality Improvement Quality of Care 40

NASHP

MARCH 14, 2022

STEP 3: Define Staffing and Service Standards The National Consensus Project’s Palliative Care Guidelines advise delivering palliative care through an interdisciplinary team that may include professionals such as: Physician. Nurse Practitioner. Advance Practice Registered Nurse. Care Manager. Advance Care Planning.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

NASHP

OCTOBER 2, 2023

Value-Added Services Services that are not covered under the state plan but that a managed care plan opts to spend a portion of its administrative funding from its capitation to improve quality of care and/or reduce costs. States can also target services on the basis of disease or condition such as HIV/AIDS or brain injury.

Medicaid 72

Medicaid Performance improvement Integration Nursing 72

NASHP

MARCH 22, 2024

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Etactics

DECEMBER 1, 2023

H Codes - Rehabilitative services. R0070 - The transportation of personnel and portable X-ray equipment to nursing homes or other residency. These codes provide data about the quality of care given. C Codes - Temporary outpatient hospital prospective payment system. D Codes - Dental procedures. Anesthesia. Laboratory.

Medicare 52

Medicare Medicaid Medical Services Rehabilitation 52

Home Health Care

JANUARY 17, 2022

Reduced hospitalizations means greater chance of rehabilitation, restoration, maintenance of the patient’s condition and avoidance of fatalities. When looking at the non-medical home care workforce, No. 1 to them is quality from top to bottom. [00:28:32] They can see, “This is not just 2% of my budget.

Integration 100

Integration Home Care Medicare Medicaid 100

NASHP

JULY 24, 2023

Evidence suggests that vertical integration and growing consolidation in health care leads to higher hospital and provider prices and higher total spending — all while having little to no impact on improving quality of care for patients, reducing utilization, or improving efficiency.

Hospitals 52

Hospitals Prevention Quality Improvement Quality of Care 52

NASHP

OCTOBER 20, 2022

For example, the Centers for Medicare & Medicaid Services Innovation Center is currently supporting the Integrated Care for Kids (InCK) model across seven sites in six states. This model aims to improve quality of care for children, including CYSHCN, through integrated care delivery systems that include care coordination.[12].

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Meet quality requirements.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

Sheppard Health Law

NOVEMBER 13, 2023

Specifically, MA enrollees enjoy an appeal right which is normally triggered when the MA organization delivers a Notice of Medicare Non-Coverage (“NOMNC”) relating to certain non-hospital provider services, including services in a home health agency, skilled nursing facility, or a comprehensive outpatient rehabilitation facility. [2]

Medicare 59

Medicare Medicaid Regulations Integration 59