Social Work Blog

APRIL 18, 2022

The Centers for Medicare and Medicaid Services (CMS) has released clarifying information about Part 2 of the No Surprise Act, Good Faith Estimates (GFEs). April 18, 2022. The frequently asked questions (FAQs) answer many of the questions that social workers asked when the No Surprise Act was implemented in January 2022.

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Relias

DECEMBER 8, 2022

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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Relias

MARCH 5, 2025

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. Reside in the U.S.

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Relias

JANUARY 8, 2024

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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Relias

APRIL 18, 2025

Don Berwick, former Administrator of the Centers for Medicare and Medicaid Services This quote encapsulates the essence of patient-centered care. Listening to patients is the cornerstone of patient-centered care. Truly listening to patients and incorporating their feedback is fundamental to enhancing the patient experience.

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Relias

APRIL 28, 2022

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. More complete documentation also helps your organization monitor and track the level of care you provide with detail and accuracy.

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Relias

AUGUST 11, 2022

Ensuring coding accuracy up front can save hundreds and sometimes thousands of dollars in claim rework and administrative costs associated with claim rejections. It enhances clinical, financial, and administrative planning and performance monitoring. Tips to improve this step: Code correctly the first time.

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Relias

DECEMBER 13, 2021

An unintended, but positive offshoot of the pandemic is that the crisis highlighted home health’s “very quick and successful adjustments” and “versatility” to serve COVID-19 patients and millions of others served under Medicare, Medicaid, Veterans Administration, and other services.

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Relias

MARCH 12, 2025

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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Relias

OCTOBER 20, 2021

Several factors drove these concerns, such as licensing, Medicare/Medicaid?reimbursement, These tools allow administrators to perform a variety of tasks associated with training programs and give staff flexibility in the way they receive and perform their training. amount of telehealth adoption prior to the COVID-19 pandemic,?some

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Relias

MAY 1, 2022

Understanding the legal implications of gaps in care can help protect all involved: physicians, nurses, other caregivers, and healthcare administrators and leaders. The Agency for Healthcare Research and Quality calculates that more than 17,000 lawsuits related to pressure injuries are filed each year — second only to wrongful death suits.

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Relias

OCTOBER 10, 2022

With the Biden administration advocating for stricter scrutiny on nursing homes, we know inspection of healthcare facilities may increase even more. Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards.

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Social Work Blog

DECEMBER 19, 2022

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.

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Relias

JANUARY 16, 2023

This estimate is based on a survey of physicians who primarily serve Medicare fee-for-service and Medicare Advantage patients and represents up to a fourfold increase in the cost of care delivered at home today. The report also found trends in the kinds of services Medicare beneficiaries receive via telehealth.

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Social Work Blog

NOVEMBER 10, 2022

During this time of year, individuals and families who do not have health insurance through their employer, Medicare, Medicaid, or other plan, can go to www.healthcare.gov or CuidadodeSalud.gov to find coverage options on the health insurance marketplace that was established through the Affordable Care Act. percent of household income.

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Relias

APRIL 6, 2022

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.

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Social Work Blog

FEBRUARY 3, 2025

Members of our profession also provide frontline services in mental health, substance use treatment, child welfare, and elder care – many of which fall under HHS programs such as Medicaid and the Substance Abuse and Mental Health Services Administration (SAMHSA).

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Beyond Advocacy

JANUARY 10, 2023

In that rules package are stipulations that a decision on the debt ceiling will depend on cuts to entitlement programs—meaning Medicare and Social Security. His first order of business on Monday was to pass a package of rules that will determine how the House operates during the 118 th Congress.

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