Clinic, Communication and Medicare

(CY) 2022 Medicare Physician Fee Schedule Proposed Rule: Key Provisions Impacting Clinical Social Workers

Social Work Blog

OCTOBER 25, 2021

The Centers for Medicare and Medicaid Services (CMS) proposed CY 2022 Physician Fee Schedule (PFS) issued on July 16 includes a variety of provisions that are relevant to clinical social workers (CSWs) who are participating providers in Medicare. Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

Medicare

Medicare Clinic Telehealth Social Worker

Medicare Physician Fee Schedule Final Rule for CY 2022

Social Work Blog

DECEMBER 20, 2021

Implications for Clinical Social Workers. On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the CY 2022 Medicare Physician Fee Schedule (PFS) final rule. percent reimbursement cuts to Medicare providers , including CSWs. Audio-Only Communication. December 2021. Reimbursement.

Medicare

Medicare Telehealth Clinic Disorder

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. Insufficient Clinical Documentation or Underreported codes. Coding is high value — and in high demand.

Clinic

Clinic Justice and Corrections Medicare Healthcare

UPDATE: Federal Rule to Prevent Surprise Health Care Billing – Application to Clinical Social Workers

Social Work Blog

JANUARY 5, 2022

We are also advocating on behalf of clinical social workers with key federal regulatory agencies and other stakeholders. Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Document the GFE in the clinical record. Background on Federal Rule. Timeframes.

Clinic

Clinic Social Worker Self-harm Psychotherapy

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. Insufficient Clinical Documentation or Underreported codes. Coding is high value — and in high demand.

Clinic

Clinic Justice and Corrections Medicare Healthcare

Home Health CoPs Update: New Opportunities for OTs

Relias

OCTOBER 25, 2021

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare

Medicare Therapist Medicaid Clinic

Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

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.

Healthcare

Healthcare Medicare Hospitals Clinic

Highlights of CMS 2023 Proposed Physician Fee Schedule

Social Work Blog

SEPTEMBER 8, 2022

On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule of the Physician Fee Schedule (PFS) that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2023. The proposed changes may impact social workers and other Medicare providers in various settings.

Medicare

Medicare Telehealth Clinic Mental Health

How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Relias

JANUARY 30, 2024

Healthcare organizations receive scores from the HCAHPS survey , which according to the Centers for Medicare and Medicaid Services, is “the first national, standardized, publicly reported survey of patients’ perspectives of hospital care.” Researchers have studied the connection between patient experience and clinical outcomes.

Healthcare

Healthcare Medicare Hospitals Clinic

Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

DECEMBER 21, 2021

Application to Clinical Social Work Services. Under a new federal rule to protect consumers from surprise health care bills, clinical social workers and other health care provider types must, effective January 1, 2022, provide a good faith estimate of expected charges. Document the GFE in the clinical record. December 21, 2021.

Medicare

Medicare Medicaid Clinic Clinical Social Work

Invest in Wound Care Education To Avoid Legal Risks

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Skillful Clinician Communication. Not communicating wound status to the responsible family member.

Healthcare

Healthcare Hospitals Communication Medicare

Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

DECEMBER 21, 2021

Application to Clinical Social Work Services. Under a new federal rule to protect consumers from surprise health care bills, clinical social workers and other health care provider types must, effective January 1, 2022, provide a good faith estimate of expected charges. Document the GFE in the clinical record. December 2021.

Medicare

Medicare Medicaid Clinic Government

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

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). 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.

Psychotherapy

Psychotherapy Medicare Social Worker Nursing Home

Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

OCTOBER 28, 2022

Under the first performance year of VBP in 2023, home health agencies will be scored in part on the patient’s perception of their communication and team discussion.” Patient perception of communication and team discussion are two of those five elements. Assessing communication and collaboration. Increased scrutiny in hospices.

Hospice

Hospice Communication Clinic Patient Safety

Importance of Image and Respect for Home Health Recruitment and Retention

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. Clinical assessments. Mentorship programs.

Home Care

Home Care Healthcare Hospice Medicare

12 Days of Compliance Countdown

Relias

AUGUST 9, 2023

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. The best-made plans are laid to waste if there’s no effective communication from the top down within an accessible channel.

Engagement

Engagement Healthcare Medicare Communication

10 Claim Denial Reasons Healthcare Organizations Should Monitor

Relias

FEBRUARY 1, 2023

We communicate the change to the pharmacy team. Some Medicare Advantage plans are denying authorization for hospitalization. This is to shift procedures away from the hospital to [less expensive] standalone clinics or physician offices,” said Brennan. This process avoids delays in authorizations and denials,” said Beland.

Healthcare

Healthcare Hospitals Medicare Clinic

Survey Readiness: Post-Acute Care Compliance Checkup

Relias

OCTOBER 10, 2022

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. Quality care and optimal clinical outcomes. Respectful communication and appropriate behavior. Staff training and licenses.

Nursing Home

Nursing Home Healthcare Hospice Medicare

Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

Relias

JULY 20, 2023

The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. It is important to focus on clinical protocols and reduction in practice variation. Sadly, U.S. rates are continuing to rise.

Hospitals

Hospitals Medicaid Mental Health Medicare

Social Work Update

(CY) 2022 Medicare Physician Fee Schedule Proposed Rule: Key Provisions Impacting Clinical Social Workers

Medicare Physician Fee Schedule Final Rule for CY 2022

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

UPDATE: Federal Rule to Prevent Surprise Health Care Billing – Application to Clinical Social Workers

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Home Health CoPs Update: New Opportunities for OTs

Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

Highlights of CMS 2023 Proposed Physician Fee Schedule

How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Federal Rule to Prevent Surprise Health Care Billing

Invest in Wound Care Education To Avoid Legal Risks

Federal Rule to Prevent Surprise Health Care Billing

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

Why Care Coordination Is Important for Home Health and Hospice Agencies

Importance of Image and Respect for Home Health Recruitment and Retention

12 Days of Compliance Countdown

10 Claim Denial Reasons Healthcare Organizations Should Monitor

Survey Readiness: Post-Acute Care Compliance Checkup

Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

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