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Medicare Open Enrollment: What’s New for 2022 and How You Can Help Your Clients

Social Work Blog

Each fall, Medicare beneficiaries can review, compare, and change their coverage options during the Medicare Open Enrollment Period (OEP). The Medicare OEP is distinct from Health Insurance Marketplace Open Enrollment , which occurs November 1 through December 15.). (The Posted November 12, 2021. Language Access.

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Hospice Billing Compliance: The Latest PEPPER Updates

Relias

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER provides each hospice organization’s paid Medicare claims for the last three fiscal years. Jurisdictional or Medicare Administrative Contractor (MAC). PEPPER Target Areas.

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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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The CMS Emergency Preparedness Rule: What Healthcare Organizations Need to Know

Relias

The Centers for Medicare and Medicaid Services (CMS) issued the Emergency Preparedness Rule to provide a national framework for healthcare organizations to improve their readiness for emergencies. This regulation established consistent emergency preparedness requirements for Medicare and Medicaid providers and suppliers of all types.

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How to Create a Ketamine Compliance Program

Relias

However, as its use expands, so do the challenges of ensuring patient safety, regulatory compliance, and ethical administration. While ketamine therapy may offer relief, improper administration especially in at-home settings can lead to serious health risks and treatment complications.

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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. But gaining patient trust isn’t the only benefit of high patient satisfaction scores.

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Nursing Home Compliance: Prepare for Focused Inspections

Relias

New requirements from the Centers for Medicare and Medicaid Services (CMS) announced in November 2021 and a new time-limited enforcement effort by the Occupational Safety and Health Administration (OSHA) announced in March call for focused inspections and put a higher level of scrutiny on nursing home compliance and the quality of care provided.