Centers for Medicare and Medicaid Services Essays

  • Essay On Long Term Care

    776 Words  | 4 Pages

    care for certain healthcare conditions that require rehabilitation after a hospital stay or limited care to help the patient get back on their feet. Unfortunately, all other cases, Medicare does not cover long-term care unless the patient has great veteran insurance and is at least 70% disabled from the military service or if the patient is classified as impoverished (Day, 2012). Either way the government makes it extremely difficult for these individuals to receive proper care and in some cases families

  • Importance Of Quality Improvement In Nursing

    2003 Words  | 9 Pages

    Bradley, S., Segal, P., & Finely, E. (2012). Impact of Implementation of Evidence-Based Best Practices on Nursing Home Infections. Retrieved from Pennsylvania Patient Safety Advisory website: http://www.patientsafetyauthority.org Centers for Medicare and Medicaid Services website. http://www.cms.gov Gillis, K., Tency, I., Roelant, E., Laureys, S., Deviendt, H., & Lips, D. (2016). Skin Hydration in Nursing Home Residents Using Disposable Bed Baths. Retrieved from Geriatric Nursing website:

  • Patient Restraint In Nursing

    982 Words  | 4 Pages

    Restraint refers to any measure intended to limit the activity or control the behavior of an individual. This can be accomplished by both physical and chemical interventions. Mittens and positional supports such as nesting beds, rolls and swaddling are not considered restraints. The physician orders the type of restraint after all other protective strategies including medical immobilization devices and alternative interventions have been assessed and determined ineffective in preventing the infant

  • The Nurse's Role In Patient Education

    1605 Words  | 7 Pages

    The role of the nurse in caring for any patient is multifaceted. The nurse must not only provide physical care to her patient, but must also acknowledge and care for the psychological and educational needs of her patient. In order to provide the highest standard of care to a patient undergoing a total cystectomy and the formation of an ileal conduit the nurse must have a wealth of knowledge regarding urinary diversions. The nurse must understand the indications for the formation of a urinary stoma

  • Stereotyping In Nursing

    1870 Words  | 8 Pages

    Introduction Since the ancient age of medicine till the present times, nurses and their professionalization through the exposure to advanced education and latest techniques has been a subject of very many significant debates. Worldwide, nurses have developed themselves into professionals with a great deal of knowledge, as witnessed by the development of nursing protocols and guidelines. Despite these progresses, it has been concluded by many studies and a thesis that nurse are not able to avail the

  • Stephanie Ericsson The Way We Lie Summary

    938 Words  | 4 Pages

    In “The Way We Lie”, author Stephanie Ericsson gives her readers a list of ten lie we sometime use it for a purpose and sometime we did not realize we did it. She starts out her story with four lie she used in the same morning as she is starting out her day. She explains these lie are intentionally use to minimize the complications and make the day goes much smoother. However, she questions whether these lie can actually make an impact on the person who carry out and the person who receive the lie

  • Advantages And Disadvantages Of Gatekeeping

    1952 Words  | 8 Pages

    Gatekeeping is referring to the New Zealand healthcare system and non-gatekeeping is referring to the United States’ healthcare system. Countries undergo specific health systems tailored towards what they believe will make their health system more effective. These may include concepts similar or different. In this case, people living in one country can visit a specialist when desired, whereas other countries require patients to have a referral from their primary physician to seek further attention

  • Joint Commission Research Paper

    1004 Words  | 5 Pages

    more than 21,000 health care organizations and programs in the United States, including hospitals and health care organizations that provide ambulatory and office-based surgery, behavioral health, home health care, laboratory and nursing care center services (The Joint Commission, 2016).” The

  • Continuous Quality Improvement In Healthcare

    1034 Words  | 5 Pages

    manager of an urgent care center was given the task to investigate the increase in complaints regarding long wait times, inadequate or incomplete information from staff during visits, and the relatively small number of insurance types accepted at the facility. The goal is to examine three examples of quality initiatives that would increase patients’ satisfaction, and reduce health cost. In addition, the writer will defend the position on whether to accept Medicare or Medicaid as a potential pay source

  • Readmissions In Healthcare

    868 Words  | 4 Pages

    According to the Centers for Medicare and Medicaid Services (2012) readmission is defined as an admission into the hospital within 30 days of a discharge from the same hospital or another sub-section hospital. Reducing the rates of unnecessary readmission into acute care facilities has now

  • P4P Payment Model

    1382 Words  | 6 Pages

    to health care providers for meeting specific performances measures. Medical care providers receive Medicare reimbursements that reflect the provider’s performance on specific metrics, which are based on adherence to expected health care processes, patient satisfaction survey (PSS) scores, or patient quality outcomes (Nix, 2013). Miller, et al. (2017) referred to it as a “modified FFS (fee-for-service)” method. Evidently, this model acts as a payment template for many of Medicare’s programs. These

  • Performance Improvement Case Study

    2245 Words  | 9 Pages

    healthcare and actively study the process of fulfilling such gap to quality of life, care and services

  • 340B Drug Pricing: A Case Study

    495 Words  | 2 Pages

    providers are required to be more cost effective in delivering their services. Some health care facilities operate under very tight budget. In 1992, Congress established 340B drug pricing program in order to provide discounted drugs for covered entities, such as “high-Medicaid public and private nonprofit hospitals, community health centers, and other safety net providers”1, to help those facilities to deliver pharmacy services to those underinsured or uninsured outpatient populations. This

  • The Role Of Meaningful Use In Nursing Care

    334 Words  | 2 Pages

    Meaningful use is a set of rules that decide if healthcare providers will receive federal funds from the Medicare EHR Incentive Program, the Medicaid EHR Incentive Program or both. Cherry & Jacob (2017) stated, “The American Recovery and Reinvestment Act of 2009 directed the meaningful use of EHR systems for hospital and physician practice settings and provides for financial incentives from the CMS to providers who adopt and use EHRs that meet the meaningful use standards. Meaningful use refers to

  • Hospital Outpatient Services Case Study

    1357 Words  | 6 Pages

    1. Discuss the difference in Medicare payment methods for outpatient services and physician services. The outpatient services provide the following information about the Hospital Outpatient Prospective Payment System (OPPS). On August 1, 2000, the Centers for Medicare & Medicaid Services (CMS) began using the OPPS, which was authorized by Section 1833(t) of the Social Security Act (the Act) as amended by Section 4533 of the Balanced Budget Act of 1997. The OPPS was implemented in calendar year

  • Decline Of Hospitals

    1006 Words  | 5 Pages

    including the provider of health care services, the purchaser of care, Quality regulator and sponsor of research, education and training programs for professionals. Each of these roles has both positive and negative effects on the system. This paper elaborates the role of government in growth as well as the decline of one of these arenas, Hospitals. Hospitals have transformed from primitive institutions of social welfare to consolidated systems of health services delivery. Evolution of Hospital

  • Diabetes Swot Analysis

    1989 Words  | 8 Pages

    Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Healthy People (2015), these factors underlie preventable disparities in health status and disease outcomes. Poor health outcomes are often the result of the interaction between individuals and

  • Essay On Hospital Readmission

    441 Words  | 2 Pages

    healthcare system. In the US, nearly 20 percent of Medicare patients are readmitted within 30 days after discharge and related with an estimated annual cost of 17 billion (1). Hospital readmission for patients early after an inpatient stay can be a traumatic experience (2). Readmission causes vary between countries, regions and healthcare centers, at least part of them can be avoidable (3-5). In the US by the Centers for Medicare and Medicaid Services in 2009 readmission causes are reported for pneumonia

  • Ctca Accreditation

    874 Words  | 4 Pages

    Accreditation of Cancer Treatment Centers of America The Cancer Treatment Centers of America (CTCA) are a network of five hospitals serving adult patients suffering from cancer. The CTCA is a non-profit organization offering an integrated treatment system ranging from physical approaches like surgery to genomic testing and emotional approaches, which are backed by evidenced-based therapies, that aim at improving the quality of life of the patients during and after the treatment. All CTCA hospitals

  • Audit Contractor Case Study

    802 Words  | 4 Pages

    as we about to witness below. The fact that, these contractors are hired by Centers for Medicare & Medicaid Services to audit and recover dollars to put back into the Medicare Trust Fund, these have a huge incentive as they are paid on contingency, and percentage basis. Therefore, one can be sure that these will be aggressive in their audits. That is; any overpayments found by RACs will need to be reimbursed to Medicare, which can collect their reimbursement from any future claims checks owed to