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  2. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]

  3. Electronic visit verification - Wikipedia

    en.wikipedia.org/wiki/Electronic_visit_verification

    Electronic visit verification (EVV) is a method used to verify home healthcare visits to ensure patients are not neglected and to cut down on fraudulently documented home visits. Beginning January 1, 2020, home care agencies that provide personal care services must have an EVV solution in place or risk having their Medicaid claims denied, under ...

  4. Visiting nurse association - Wikipedia

    en.wikipedia.org/wiki/Visiting_Nurse_Association

    Visiting nurses of Chicago (1906) A visiting nurse association (VNA), also known as a visiting nurse agency or home healthcare agency or association, is any of various American organizations that provide home healthcare and hospice services through a network of nurses, therapists, social workers, and other healthcare associates for patients who are housebound, recovering from an illness or ...

  5. Does Medicare pay for mental health care? Here’s which ...

    www.aol.com/finance/does-medicare-pay-mental...

    Traditional Medicare pays for both inpatient (Part A, hospital coverage) and outpatient (Part B, medical coverage) mental health treatment from psychiatrists, psychologists, clinical social ...

  6. Prospective payment system - Wikipedia

    en.wikipedia.org/wiki/Prospective_payment_system

    In 2000, CMS changed the reimbursement system for outpatient care at Federally Qualified Health Centers (FQHCs) to include a prospective payment system for Medicaid and Medicare. [2] Under this system, health centers receive a fixed, per-visit payment for any visit by a patient with Medicaid, regardless of the length or intensity of the visit.

  7. National Provider Identifier - Wikipedia

    en.wikipedia.org/wiki/National_Provider_Identifier

    NPI data is downloadable from CMS. The downloadable database was updated monthly until December 2012, and has been issued weekly since. A data structure file is available separately from CMS. [6] As of June 2024, the file download size is 947.84 MB, and the raw database file (npidata_pfile_20050523-20240512.csv) is 9.3 GB when extracted. [7]

  8. Home health nursing - Wikipedia

    en.wikipedia.org/wiki/Home_health_nursing

    Home health nursing is a unique field considering the obstacles faced by healthcare professionals. When out visiting clients, the nurse is alone and cannot rely on others most of the time. Nurses in home health care must learn to be autonomous. [7] The variety of home conditions that a nurse will step into can also present problems.

  9. Medical guideline - Wikipedia

    en.wikipedia.org/wiki/Medical_guideline

    Plates vi & vii of the Edwin Smith Papyrus (around the 17th century BC), among the earliest medical guidelines. A medical guideline (also called a clinical guideline, standard treatment guideline, or clinical practice guideline) is a document with the aim of guiding decisions and criteria regarding diagnosis, management, and treatment in specific areas of healthcare.