By Glenda Motta RN, MPH
The Center for Medicare & Medicaid Services (CMS) reports that nearly one in five Medicare patients discharged from a hospital—approximately 2.6 million seniors—is readmitted within 30 days, at a cost...
By Glenda Motta RN, MPH
The Center for Medicare & Medicaid Services (CMS) reports that nearly one in five Medicare patients discharged from a hospital—approximately 2.6 million seniors—is readmitted within 30 days, at a cost...
By Glenda Motta RN, MPH
Anyone interested in keeping abreast of Medicare basics as well as payment policy should add the Medicare Payment Advisory Commission (MedPAC) to your list of resources. MedPAC, an independent...
By Glenda Motta RN, MPH
Say what you will about Obamacare, but the President has made eliminating fraud, waste, and abuse in healthcare a top priority. The Attorney General and Health and Human Services (HHS) Secretary recently released a report on health care fraud prevention...
By Glenda Motta RN, MPH
Most individuals with chronic conditions would much prefer to remain at home in familiar surroundings than be relocated to a nursing care facility. Yet, the largest expenditures under state Medicaid programs...
By Glenda Motta RN, MPH
In 1978, I was hired to develop a comprehensive discharge planning program at an inner city hospital in Washington, D.C. Way before DRGs and any reimbursement...
By Glenda Motta RN, MPH
Recently, I attended the WOCN Mid-Atlantic Regional conference. There, a nurse attorney discussed strategies to limit liability and improve patient care. The Maryland Patient Safety Law requires that hospitals report all Level I events to the state Office...
By Glenda Motta RN, MPH
Medicare is now beginning round two of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. Congress mandated this through the...
By Glenda Motta RN, MPH
Centers for Medicare and Medicaid Services (CMS) just released regulations for acute and long-term care hospitals that include a new set of quality measures that will determine payment starting...
By Glenda Motta RN, MPH
Coverage and payment for new wound care technology is never automatic, and demands skillful assessment of what various payers require to accept a new treatment modality. Reimbursement is complex and involves...
By Glenda Motta RN, MPH
By Glenda Motta RN, MPH
The most commonly used wound dressings are classified as medical devices. Examples of these include (but are not limited to): absorptive dressings, alginates, collagens, composites, contact layers, foams, gauzes,...