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Update: Nursing Home Visitation During the COVID-19 Pandemic

Social Work Blog

The association offers resources to help social workers engage with clients, colleagues, family, and friends about COVID-19 vaccination. 2) and referenced its November 5, 2021, interim final rule requiring vaccination of all staff members in Medicare- and Medicaid-certified LTC facilities. November 12 Guidance.

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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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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). ” Richardson suggests engaging a broader interdisciplinary team, including Minimum Data Set (MDS) coordinators, to offer differing viewpoints when analyzing the report.

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Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

Relias

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. Professional development opportunities also increase employee engagement.

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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. Features like automated reporting and audit trails streamline the process, reducing administrative burdens.

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Why Successful Integrated Care Management Matters

Relias

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), integrated care is defined as “the systematic coordination of general and behavioral healthcare.” Plus, the innovative program has engaged the community to truly provide wrap-around care.

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Planning for Medicaid Unwinding in 2023

Social Work Blog

When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees. The Biden-Harris administration has committed to providing a 60-day notice to states before the PHE will expire.