This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
By Denise Johnson, LCSW-C Senior Practice Associate March 2024 In February 2024, a major healthcare cybersecurity attack occurred, affecting many patients and providers including clinical social workers (CSWs). As a result, Change Healthcare became temporarily paralyzed, causing payment disruptions and delays in patient care.
.” It does not define RTF’s, but the term clearly refers to facilities that provide behavioral health services in a residential context to children with funding from programs under SFC jurisdiction, mainly Medicaid and foster care funds under Title IV-E of the Social Security Act.
of citizens identifying as American Indian or Alaska Native relied on Medicaid or other public health insurance, and 14.9% on Medicaid or public health insurance and only 6.3% without coverage — Native American healthcare disparities clearly still exist despite efforts to eradicate them. had no coverage at all. with 34.3%
Attention Clinical Social Workers: CMS Seeking Feedback on Good Faith Estimates. The request for feedback is related to the No Surprise Act (NSA), which protects patients from large, surprise healthcare bills. A list of additional questions is available at [link]. The deadline for submitting feedback to CMS is November 15, 2022.
Revenue cycle management (RCM) is the financial process that makes it possible for most healthcare organizations to fulfill their mission of providing quality care for patients and communities. RCM is the set of functions that comprise the capture, management, and collection of patient service revenue in a healthcare organization.
In a consumer-driven industry, healthcare organizations must compete to gain new patients and maintain their loyalty. One effective way is to earn high patient satisfaction scores that demonstrate value to customers seeking a trusted healthcare partner. In 2019, $1.9
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. Understanding the legal implications of gaps in care can help protect all involved: physicians, nurses, other caregivers, and healthcare administrators and leaders.
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.
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.
In our study, we noted that as few as 28% of women with PPD symptoms reported them to a healthcare provider. I am a nurse with many years of clinical experience and now a vice president and partner in clinical solutions at Relias. Another study found delayed or nonexistent detection, and follow-up was as low as 17.9%
These series allow our clinical staff, who have intimate knowledge of our clients’ needs, to ask specific questions and obtain detailed information that a generic resource list cannot provide. Nicole Curcio , LCSW, Lead Family Advocate Feedback from our clinical staff has been overwhelmingly positive.
Improving patient experience scores is a goal for many healthcare organizations — and for good reason. As they consider new ideas to raise patient satisfaction, healthcare leaders must have an understanding of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring system that evaluates these efforts.
But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. Healthcare organizations in the U.S. For example, less than 20% of Medicare spending is currently value-based. Why the change to value-based care?
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), integrated care is defined as “the systematic coordination of general and behavioral healthcare.” To provide the best services possible, healthcare organizations of all kinds must understand how to implement integrated care management.
When you invest in educating clinicians as wound care specialists, you can put your organization in a stronger business position by: Developing a team with clinical expertise in wound and ostomy care. Increasing reimbursements by effectively treating more clinically complex patients. Develop Clinical Expertise in Wound Care.
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. Increased Compensation.
maternal mortality continues to increase despite the availability of world-class healthcare resources. Sparkman, who is Relias Vice President and Partner, Clinical Solutions, Patient Safety and Quality, noted that despite advancements, “The U.S. In the U.S., Research has shown that inequities are a critical component of the problem.
Improved care quality and patient safety, reduced readmissions and ER visits, and lower healthcare costs are just some of the positive outcomes of effective care coordination. But care coordination needs to be baked into the productivity standard at an agency,” said Laura Wilson, SimiTree Managing Director of Clinical Operations Consulting.
Successful agencies recognize that long-term success depends on meeting required clinical regulations and having staff with the home health specializations to meet shifting client needs. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 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. One robust, magical platform “Platform” is something we hear quite often in IT, and it’s becoming ever more prevalent in healthcare.
Recent research and reporting indicate that maternal mortality prevention depends on simultaneously addressing three overlapping areas — clinical, social, and behavioral. mothers have access to a very high standard of clinical care, social factors prevent many others from accessing even the minimum level of care they need.
These grim statistics are not news for healthcare organizations. Hospitals and health systems have targeted their approaches to these issues and others to help reduce complications through adherence to evidence-based clinical protocols and reducing variation in care. Maternal Risk Factors: Social Determinants and Mental Health.
Federal and state agencies’ routine surveys of healthcare organizations can be stressful. With the Biden administration advocating for stricter scrutiny on nursing homes, we know inspection of healthcare facilities may increase even more. Regardless of the healthcare setting, you don’t want to be on this type of list.
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.
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.
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).
We organize all of the trending information in your field so you don't have to. Join 25,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content