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Change Healthcare Cyberattack: What Social Workers Should Know

Social Work Blog

By Denise Johnson, LCSW-C Senior Practice Associate March 2024 In February 2024, a major healthcare cybersecurity attack occurred, affecting many patients and providers including clinical social workers (CSWs). CMS is also urging Medicaid plans to make prospective payments to those affected.

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Clinical Documentation Integrity: Why It’s Crucial for Improving Revenue Cycle Management

Relias

Throughout the cycle, the possibility of errors looms if your staff isn’t up to speed on the complex coding demands and rules set by hospitals, insurers, and the Centers for Medicare and Medicaid Services. How Clinical Documentation Integrity Affects Revenue. of claims between 2016 and the third quarter of 2020.

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New Frequently Asked Questions on the No Surprises Act: Good Faith Estimates

Social Work Blog

The Centers for Medicare and Medicaid Services (CMS) has released clarifying information about Part 2 of the No Surprise Act, Good Faith Estimates (GFEs). Part 2 focuses on services provided to the uninsured or self-pay patients who receive services provided by clinical social workers in independent practice. Clinical Manager.

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Guest Post: Interview with Author of Breakdown: A Clinician’s Experience in a Broken System of Emergency Psychiatry

Bipolar Bandit

I increasingly realized that there is no opportunity to influence legislators to change the system in the clinical setting. I wrote Breakdown to appeal for legislative reform because it’s nearly impossible to change the system from within the trenches of clinical work. Most states have overly restrictive involuntary hold laws.

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Indian Health Service Funding: Grants and Financial Opportunities for Tribal Healthcare

Relias

Key sources of IHS funding The IHS is primarily funded by federal appropriations, along with grants, Medicaid and Medicare reimbursements, and third-party billing. Medicaid and Medicare reimbursements Tribal health programs can enroll as Medicaid and Medicare providers to receive reimbursements for eligible services.

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Invest in Wound Care Education To Avoid Legal Risks

Relias

Understanding the legal implications of gaps in care can help protect all involved: physicians, nurses, other caregivers, and healthcare administrators and leaders. Along with a thorough assessment, complete documentation of clinical findings at the start is vital to protecting your facility against liability down the road.

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Elevating Care Quality: The Role of Competency Assessments and Evaluations

Relias

For example, the Centers for Medicare and Medicaid Services (CMS) mandate facility assessments in long-term care facilities to ensure that staff competencies align with the needs of the patient population. Rather than just testing knowledge, these evaluations measure how well employees apply their skills in a clinical setting.

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