Clinic, Consultation 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

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

CMS Creates Additional Place of Service Code for Telehealth

Social Work Blog

JUNE 1, 2022

Following a recent update from the Center for Medicare, and Medicaid Services (CMS), NASW has received multiple inquiries regarding telehealth place of service codes (POS) for Medicare, Medicaid, and private health insurance companies. Senior Practice Associate, Clinical Social Work. Prepared by. Denise Johnson, LCSW-C.

Telehealth

Telehealth Medicare Medicaid Clinical Social Work

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

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 Social Worker

How CMS’ TEAM Initiative Helps Prevent Surgical Readmissions With Better Wound Care

Relias

MAY 16, 2025

Over a decade ago, the Center for Medicaid and Medicare Services (CMS) Hospital Readmissions Reduction Program (HRRP) focused on reducing 30-day readmissions for high-volume, high-cost conditions like heart failure, pneumonia, and total joint replacements. This ensures continuity of care and reduces variation that can lead to complications.

Recovery

Recovery Hospitals Clinic Medicare

Improve Your Revenue Cycle with Accurate Coding

Relias

AUGUST 11, 2022

Clinical documentation integrity within this record is essential in both the revenue cycle and patient care processes. It enhances clinical, financial, and administrative planning and performance monitoring. Prioritizing Clinical Documentation Integrity. About Revenue Cycle Coding Strategies.

Clinic

Clinic Medicare Healthcare Administration

10 Inspiring Patient Experience Quotes

Relias

APRIL 18, 2025

Peter Drucker, management consultant and educator This quote, though not specific to healthcare, is a powerful reminder that the quality of care is ultimately determined by the patients perception and experience, not just by the providers intentions. Patients dont care about your policies. They care about how you treat them.

Healthcare

Healthcare Empathy Medicare Medicaid

Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

OCTOBER 28, 2022

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Busy clinical managers can’t bear the documentation burden alone.

Hospice

Hospice Communication Clinic Patient Safety

10 Claim Denial Reasons Healthcare Organizations Should Monitor

Relias

FEBRUARY 1, 2023

“This can cause a reduced cash flow, which can cause an organization to have a harder time paying bills and meeting their financial obligations,” said Andrew Hajde, CMPE, director of content and consulting at MGMA. Some Medicare Advantage plans are denying authorization for hospitalization. Denied claims quickly become uncollectible.

Healthcare

Healthcare Hospitals Medicare Clinic

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

New Peripartum Depression Study Shows Gap Between Screening and Outcomes

Relias

JANUARY 23, 2023

I am a nurse with many years of clinical experience and now a vice president and partner in clinical solutions at Relias. Research cited in our study showed that screening occurred in less than two-thirds of mothers, with considerable variation depending on race, income-level, and Medicaid/Medicare status.

Depression

Depression Patient Safety Mental Health Medicare

Social Work Update

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

Home Health CoPs Update: New Opportunities for OTs

Trending Sources

CMS Creates Additional Place of Service Code for Telehealth

Federal Rule to Prevent Surprise Health Care Billing

Federal Rule to Prevent Surprise Health Care Billing

How CMS’ TEAM Initiative Helps Prevent Surgical Readmissions With Better Wound Care

Improve Your Revenue Cycle with Accurate Coding

10 Inspiring Patient Experience Quotes

Why Care Coordination Is Important for Home Health and Hospice Agencies

10 Claim Denial Reasons Healthcare Organizations Should Monitor

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

New Peripartum Depression Study Shows Gap Between Screening and Outcomes

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