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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. Center for Medicare Advocacy.

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Grow Your Own Home Health Aides To Capture New Business

Relias

Demand for home healthcare continues to rise, and at the same time home health aide staffing remains an ongoing challenge for agency administrators. Medicare and other payers also encourage home-based care when appropriate to keep the cost of care low compared with skilled nursing facilities and hospitals.

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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). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

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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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Planning for Medicaid Unwinding in 2023

Social Work Blog

The Biden-Harris administration has committed to providing a 60-day notice to states before the PHE will expire. The Centers for Medicare and Medicaid Services (CMS) and advocacy organizations are providing guidance on ways to prepare individuals with Medicaid for the upcoming redetermination process. End of the PHE.