Field Type(OASIS-C Data, n.d.) | Field Size(OASIS-C Data, n.d.) | Definition(OASIS-C Data, n.d.) | Allowable Values/ Edits(OASIS-C Data, n.d.) | CMS Certification # | Number | 6 | Specifies the agency’s Centers for Medicare and Medicaid Services (CMS) certification number (CCN/Medicare provider number). | | If the HHA has a CMS Certification number, it must be entered in this field. Otherwise enter spaces. | Branch State | Text | 2 | Specifies the State where the agency branch office is located
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sequester cuts are social security, food stamps, and Medicaid programs. Medicare and Research grants provided by the government, on the other hand, will be among the items not exempt from the sequestration cuts. As my background is in health care finance, I know that there is a large presence of Medicare and federally funded grants that NS-LIJ takes advantage of and employs many people based on the grant funding acquired. As these cuts take effect Medicare reimbursement rates are likely to drop and grant
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Insurance Marketplace | The individual mandate says you have to obtain health coverage by January 2014, get an exemption or pay a fee if you can afford it. | Medicaid is expanded up to 15.9 million men, women and children below 138% of the poverty level. | Medicaid is expanded using Federal and State funding. Not all State's have to expand Medicaid. | CHIP is expanded to cover up to 9 million children. | CHIP also uses Federal and State funding. | You can't be dropped from coverage when you get sick
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will be available to the community to measure how the hospital will improve its services and care to the community. The third area is clinical documentation improvement (CDI). There is increased governmental oversight with programs such as Medicare, Medicaid, and ACA (Affordable Care Act) that monitor care and codes for billing.(Pink, 2009) When documentation is clear across all departments, patients have fewer questions. Physicians, have fewer disruptions and can focus on medical care. Streamlining
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The Affordable Care Act and Medicaid Albany State University Healthcare in America is the most talked about topic today. This seems to be true since the Patient Protection and Affordable Care Act, commonly known as “Obamacare”, is in place. This act was signed into law back in 2010. It took four years for the changes to take place and now citizens of America are required to have a health insurance plan in 2014. Open enrollment for “Obamacare”, insurance plans ends March 31, 2014. Those who
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types programs are Workers Compensation and Medicare. Workers Compensation are benefits paid to an employee during a time when he or she is unable to work because of a work related injury. These benefits include cash payments to replace a paycheck and medical coverage. There is an exchange between the employee & employer for this; the employee gives up the right to take legal action against the employer and the employer accepts liability for the injury. Medicare is benefits for the elderly, disabled,
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The Future of Medicare Lolita Fields William Carey University NMBA 6920 Medicare celebrated 50 years in 2015. Since being passed in 1965 Medicare has been the source of health insurance for nearly 45 million Americans. According to CMS.gov Medicare has a Part A hospital insurance, Part B medical insurance, and Part D prescription drug coverage. There is also a Medicare Advantage Plan which is called Part C. Today there is a challenge of how to finance care to future generations without
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improved. Quality measures, therefore, are tools by which quantification of the processes and outcomes in healthcare, patient perceptions as well as structures or systems of organization is undertaken (Centers for Medicare & Medicaid Services, 2016). The Centers for Medicare & Medicaid Services, on their website explain that those parameters are chosen as they are related the goals defined for healthcare quality. Quality measures are classified into four general categories namely structural, process
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the high cost or these individuals are not eligible at all. Medicare/Medicaid. One of the biggest differences is Medicaid is a state governed program and Medicare is a federal governed program. Medicaid is applied for at your local Department of Health and Welfare’s Self Reliance office while Medicare is applied for at your local Social Security office. While Medicare is an insurance program where a member pays a monthly premium, Medicaid is a social service program that is managed by the State of
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2013 the United States government spent $1.3 trillion on healthcare, mainly on Medicare and Medicaid, which are the government funded health insurances primarily for seniors and people with disabilities and low incomes. This report not only surprises us but raises a crucial question. Is there a way to reduce the cost of the healthcare, yet provide high quality of medical services? To resolve the high cost issue in Medicare and Medi-Cal, the California state government and the federal government agreed
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