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  2. Minimum Data Set - Wikipedia

    en.wikipedia.org/wiki/Minimum_Data_Set

    The Minimum Data Set (MDS) is part of the U.S. federally mandated process for clinical assessment of all residents in Medicare or Medicaid certified nursing homes and non-critical access hospitals with Medicare swing bed agreements. (The term "swing bed" refers to the Social Security Act's authorizing small, rural hospitals to use their beds in ...

  3. Consumer Assessment of Healthcare Providers and Systems

    en.wikipedia.org/wiki/Consumer_Assessment_of...

    Examples include the CAHPS Health Plan Survey, [3] the CAHPS Hospital Survey (HCAHPS), [4] and the CAHPS Clinician & Group Survey (CG-CAHPS). [5] CAHPS surveys may be administered by phone and/or mail, depending on the certification of the vendor administering the survey.

  4. Deemed status - Wikipedia

    en.wikipedia.org/wiki/Deemed_status

    In 1994 about 5000 hospitals were eligible to receive CMS funding as a result of being reviewed by the Joint Commission. [9]The Medicare Improvements for Patients and Providers Act of 2008 removed the deemed status of the Joint Commission and directed it to re-apply to CMS to seek continued authority to review hospitals for CfC and CoP.

  5. Centers for Medicare & Medicaid Services - Wikipedia

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

    In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, clinical ...

  6. Long-term care - Wikipedia

    en.wikipedia.org/wiki/Long-term_care

    Long-term care is typically funded using a combination of sources including but not limited to family members, Medicaid, long-term care insurance and Medicare. All of these include out-of-pocket spending, which often becomes exhausted once an individual requires more medical attention throughout the aging process and might need in-home care or ...

  7. The National Consumer Voice for Quality Long-Term Care

    en.wikipedia.org/wiki/The_National_Consumer...

    The Consumer Voice is the source for long-term care education, advocacy, and policy analysis at both the state and federal level. The organization addresses issues such as inadequate staffing in nursing homes , maintenance of residents' rights and empowerment of residents, and support for family members and development of family councils.

  8. Nursing Home Reform Act - Wikipedia

    en.wikipedia.org/wiki/Nursing_Home_Reform_Act

    In Health and Hospital Corporation of Marion County v.Talevski, 599 U.S. 166 (2023), the United States Supreme Court held that the provisions of the Nursing Home Reform Act at issue unambiguously created rights enforceable under Section 1983 of the Ku Klux Klan Act (codified at 42 U.S.C. § 1983), and private enforcement under §1983 is compatible with the Nursing Home Reform Act’s remedial ...

  9. ANSI 834 Enrollment Implementation Format - Wikipedia

    en.wikipedia.org/wiki/ANSI_834_Enrollment...

    The X12 834 EDI Enrollment Implementation Format is a standard file format in the United States for electronically exchanging health plan enrollment data between employers and health insurance carriers.