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	<title>Capitol Update &#187; CMS</title>
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	<link>http://www.capitolupdate.org</link>
	<description>ANA Government Affairs&#039; free, online legislative and political newsletter on issues that impact nurses.</description>
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		<title>ANA Member Mary Naylor Appointed to MedPAC</title>
		<link>http://www.capitolupdate.org/index.php/2010/06/ana-member-mary-naylor-appointed-to-medpac/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/06/ana-member-mary-naylor-appointed-to-medpac/#comments</comments>
		<pubDate>Thu, 03 Jun 2010 13:21:53 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[FAAN]]></category>
		<category><![CDATA[Mary Naylor]]></category>
		<category><![CDATA[May 2010]]></category>
		<category><![CDATA[Medicare Payment Advisory Commission]]></category>
		<category><![CDATA[MedPAC]]></category>
		<category><![CDATA[PhD]]></category>
		<category><![CDATA[reimbursement of APRNs]]></category>
		<category><![CDATA[RN]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=907</guid>
		<description><![CDATA[As you may be aware, nursing leader and ANA member Mary Naylor, PhD, RN, FAAN, was recently appointed to be a commissioner on MedPAC, the Medicare Payment Advisory Commission.  MedPAC is charged with advising Congress and CMS (the Centers for Medicare &#038; Medicaid Services) on Medicare and Medicaid policies, including annual payment updates for the Medicare prospective payment systems – such as the Physician Fee Schedule, which covers the reimbursement of APRNs (advanced practice registered nurses).  ]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>New Leaders and Structure at CMS</title>
		<link>http://www.capitolupdate.org/index.php/2010/04/new-leaders-and-structure-at-cms/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/04/new-leaders-and-structure-at-cms/#comments</comments>
		<pubDate>Fri, 30 Apr 2010 15:10:39 +0000</pubDate>
		<dc:creator>Rachel.Conant@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[AHRQ]]></category>
		<category><![CDATA[April 2010]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Donald Berwick]]></category>
		<category><![CDATA[Marilyn Tavenner]]></category>
		<category><![CDATA[MD]]></category>
		<category><![CDATA[National Advisory Council of the Agency for Healthcare Research]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=831</guid>
		<description><![CDATA[Dr. Donald Berwick, a leading figure in healthcare quality research and improvement, has been nominated to lead CMS.  Marilyn Tavenner, an RN, has been named principal deputy administrator, and is now acting administrator until Dr. Berwick’s confirmation by the Senate.  CMS has also undergone a restructuring designed to better administer the complex new healthcare reform policies under the PPACA.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Medicare Pay Cut Stalled Through May 2010</title>
		<link>http://www.capitolupdate.org/index.php/2010/04/medicare-pay-cut-stalled-through-may-2010/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/04/medicare-pay-cut-stalled-through-may-2010/#comments</comments>
		<pubDate>Fri, 30 Apr 2010 15:00:50 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[April 2010]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Continuing Extension Act of 2010]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Medicare Part B]]></category>
		<category><![CDATA[Medicare Physician Fee Schedule]]></category>
		<category><![CDATA[SGR]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=806</guid>
		<description><![CDATA[On April 15, 2010, President Obama signed legislation temporarily stalling the scheduled 21.3 percent cut in Medicare reimbursement rates under Part B, for advanced practice registered nurses, physicians, and other Medicare providers.  The “Continuing Extension Act of 2010” extends 2009 payment rates through the end of May 2010, under the Medicare Physician Fee Schedule, and also applies retroactively to April 1.]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Medicare&#8217;s New Physician Supervision Rule Harms Patients</title>
		<link>http://www.capitolupdate.org/index.php/2010/04/medicares-new-physician-supervision-rule-harms-patients/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/04/medicares-new-physician-supervision-rule-harms-patients/#comments</comments>
		<pubDate>Wed, 07 Apr 2010 17:40:28 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Critical Access Hospitals]]></category>
		<category><![CDATA[March 2010]]></category>
		<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=637</guid>
		<description><![CDATA[A new Medicare policy went into effect in 2010, requiring physicians to be physically present in order to reimburse care given to patients in hospital outpatient and observation units.  The rule is causing severe hardship for nurses and their patients who need to receive chemotherapy, IV therapy, and other treatments in observation and other hospital outpatient units -- particularly in rural areas where patients and physicians must travel long distances. ]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>ANA Comments on Medicare Electronic Health Record Rules</title>
		<link>http://www.capitolupdate.org/index.php/2010/04/ana-comments-on-medicare-electronic-health-record-rules/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/04/ana-comments-on-medicare-electronic-health-record-rules/#comments</comments>
		<pubDate>Wed, 07 Apr 2010 17:30:22 +0000</pubDate>
		<dc:creator>Rachel.Conant@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[advanced practice registered nurses]]></category>
		<category><![CDATA[APRNs]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[certified nurse midwives]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[CNMs]]></category>
		<category><![CDATA[Department of Health & Human Services]]></category>
		<category><![CDATA[Electronic Health Record (EHR)]]></category>
		<category><![CDATA[health information technology]]></category>
		<category><![CDATA[HIT]]></category>
		<category><![CDATA[lliance for Nursing Informatics]]></category>
		<category><![CDATA[March 2010]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[medical homes]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[Medicare Electronic Health Record]]></category>
		<category><![CDATA[NDNQI]]></category>
		<category><![CDATA[NPs]]></category>
		<category><![CDATA[nurse practitioners]]></category>
		<category><![CDATA[nurse staffing]]></category>
		<category><![CDATA[primary care]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=703</guid>
		<description><![CDATA[ANA recently submitted comments urging CMS, Congress, and the Administration to allow APRNs – and all healthcare providers – to qualify for a portion of the billions of dollars in incentives for adopting health information technology/electronic health records systems under the federal Medicare/Medicaid Electronic Health Record Incentive Program.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Delays PECOS Cut-Off for Medicare Providers to 2011</title>
		<link>http://www.capitolupdate.org/index.php/2010/03/cms-delays-pecos-cut-off-for-medicare-providers-to-2011/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/03/cms-delays-pecos-cut-off-for-medicare-providers-to-2011/#comments</comments>
		<pubDate>Fri, 05 Mar 2010 19:10:12 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[Chain and Ownership System]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[February 2010]]></category>
		<category><![CDATA[Medicare Provider Enrollment]]></category>
		<category><![CDATA[National Provider Identifiers (NPIs)]]></category>
		<category><![CDATA[PECOS]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=551</guid>
		<description><![CDATA[The Centers for Medicare &#038; Medicaid Services (CMS) is giving Medicare providers - including APRNs - another year to enroll or update their enrollment in the PECOS system, as a condition of payment for items and services they order for their patients, or referrals they make to other clinicians.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>FDA Initiative Addresses Unnecessary Radiation Exposure</title>
		<link>http://www.capitolupdate.org/index.php/2010/03/fda-initiative-addresses-unnecessary-radiation-exposure/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/03/fda-initiative-addresses-unnecessary-radiation-exposure/#comments</comments>
		<pubDate>Fri, 05 Mar 2010 18:10:27 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[FDA]]></category>
		<category><![CDATA[February 2010]]></category>
		<category><![CDATA[Food & Drug Administration]]></category>
		<category><![CDATA[medical imaging]]></category>
		<category><![CDATA[radiation]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=548</guid>
		<description><![CDATA[With recent news of excessive, harmful radiation from medical imaging procedures, the U.S. Food &#038; Drug Administration announced on February 9, 2010 an initiative to decrease unnecessary exposure from computed tomography (CT) scans, nuclear medicine studies, and fluoroscopy.  These contribute substantially to total radiation exposure, with much higher radiation than standard and dental X-rays, and mammography.  ]]></description>
		<wfw:commentRss>http://www.capitolupdate.org/index.php/2010/03/fda-initiative-addresses-unnecessary-radiation-exposure/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>MedPAC Focuses on Nurse Practitioners &amp; Other Non-Physicians</title>
		<link>http://www.capitolupdate.org/index.php/2010/01/medpac-focuses-on-nurse-practitioners-other-non-physicians/</link>
		<comments>http://www.capitolupdate.org/index.php/2010/01/medpac-focuses-on-nurse-practitioners-other-non-physicians/#comments</comments>
		<pubDate>Fri, 29 Jan 2010 18:25:04 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Archieve]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[January 2010]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[MedPAC]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=380</guid>
		<description><![CDATA[At the January 14-15, 2010 meeting of the Medicare Payment Advisory Commission, commonly known as MedPAC, commissioners supported a greater focus on non-physician Medicare providers, and recognized the important role of Nurse Practitioners in primary care and home health care.]]></description>
		<wfw:commentRss>http://www.capitolupdate.org/index.php/2010/01/medpac-focuses-on-nurse-practitioners-other-non-physicians/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>CMS Withdraws Medicaid Rule Limiting Rehabilitative Services</title>
		<link>http://www.capitolupdate.org/index.php/2009/12/cms-withdraws-medicaid-rule-limiting-rehabilitative-services/</link>
		<comments>http://www.capitolupdate.org/index.php/2009/12/cms-withdraws-medicaid-rule-limiting-rehabilitative-services/#comments</comments>
		<pubDate>Thu, 03 Dec 2009 15:50:18 +0000</pubDate>
		<dc:creator>Doretta.Hood@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[Centers for Medicare & Medicaid Services]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Medicaid]]></category>
		<category><![CDATA[November-December 2009]]></category>

		<guid isPermaLink="false">http://www.capitolupdate.org/?p=231</guid>
		<description><![CDATA[The Centers for Medicare &#038; Medicaid Services (CMS) has withdrawn a controversial Medicaid proposal by the Bush administration to limit federal funding for rehabilitative services provided by child welfare, foster care, and other “nonmedical” programs. ]]></description>
		<wfw:commentRss>http://www.capitolupdate.org/index.php/2009/12/cms-withdraws-medicaid-rule-limiting-rehabilitative-services/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Medicare: ANA Advocates for Nurses and Patients at MedPAC, RUC and CPT Meetings</title>
		<link>http://www.capitolupdate.org/index.php/2009/10/medicare-ana-advocates-for-nurses-and-patients-at-medpac-ruc-and-cpt-meetings/</link>
		<comments>http://www.capitolupdate.org/index.php/2009/10/medicare-ana-advocates-for-nurses-and-patients-at-medpac-ruc-and-cpt-meetings/#comments</comments>
		<pubDate>Mon, 19 Oct 2009 12:35:04 +0000</pubDate>
		<dc:creator>Rachel.Conant@ana.org</dc:creator>
				<category><![CDATA[Archived]]></category>
		<category><![CDATA[AMA]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[CPT]]></category>
		<category><![CDATA[Medicare]]></category>
		<category><![CDATA[MedPAC]]></category>
		<category><![CDATA[October 2009]]></category>
		<category><![CDATA[RUC]]></category>

		<guid isPermaLink="false">http://198.65.146.34/?p=97</guid>
		<description><![CDATA[Medicare policies touch the lives of many of our patients, and reimbursement issues directly or indirectly affect financial compensation for many staff RNs and advanced practice RNs.  Many APRNs are enrolled as Medicare providers, and are directly reimbursed for caring for Medicare patients.  ANA GOVA staff had the opportunity recently to advocate for nurses and patients at recent meetings of MedPAC, and the RUC and CPT committees.]]></description>
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		<slash:comments>0</slash:comments>
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