Social Work Blog

NOVEMBER 4, 2022

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.

Medicare 85

Medicare Medicaid Clinic Healthcare 85

Relias

JANUARY 11, 2023

For example, less than 20% of Medicare spending is currently value-based. 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. Why the change to value-based care?

Medicare 52

Medicare Healthcare Medicaid Hospitals 52

Relias

MAY 1, 2022

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.

Healthcare 98

Healthcare Hospitals Communication Medicare 98

Relias

NOVEMBER 4, 2021

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. Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. Increasing agency profitability.

Medicare 52

Medicare Hospice Healthcare Medicaid 52

Relias

APRIL 18, 2022

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.

Medicare 52

Medicare Clinic Hospitals Medicaid 52

Relias

JUNE 19, 2023

According to a 2021 report from the United States Government Accountability Office, Medicare spending on stays for severe wound care declined about 2% from $2.06 According to the Agency for Healthcare Research and Quality , about 2.5 billion in fiscal year 2016 to $2.01 billion in fiscal year 2018. million people in the U.S.

Healthcare 52

Healthcare Rehabilitation Medicare Clinic 52

Relias

JANUARY 23, 2023

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%

Depression 98

Depression Patient Safety Mental Health Medicare 98

Relias

AUGUST 11, 2022

Clinical documentation integrity within this record is essential in both the revenue cycle and patient care processes. Analyzing the data allows providers to identify errors that may be occurring throughout the cycle and lower expenses from denials, incomplete claims, or healthcare fraud investigations.

Clinic 52

Clinic Medicare Healthcare Administration 52

Relias

JULY 12, 2022

The speed of change in healthcare requires post-acute care organizations to take a different approach to job preparedness. By arming your care teams with the latest clinical and technical skills and world-class soft skills, you will better prepare them to adapt as needed to meet patients’ future healthcare needs.

Hospice 52

Hospice Healthcare Medicare Nursing Home 52

Relias

OCTOBER 28, 2022

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.

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Hospice Communication Clinic Patient Safety 52

Relias

OCTOBER 14, 2022

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.

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Telehealth Healthcare Hospitals Patient Safety 52

Relias

FEBRUARY 1, 2023

What’s the good news for healthcare revenue cycle managers? Processing claims is one of the top contributors to wasted healthcare dollars in the U.S., Some Medicare Advantage plans are denying authorization for hospitalization. Claim denials are expected to keep increasing — both in terms of frequency and reasons.

Healthcare 10

Healthcare Hospitals Medicare Clinic 10

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. Increased Compensation.

Home Care 52

Home Care Healthcare Hospice Medicare 52

Relias

JULY 14, 2023

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.

Clinic 52

Clinic Mental Health Domestic Violence Healthcare 52

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. One robust, magical platform “Platform” is something we hear quite often in IT, and it’s becoming ever more prevalent in healthcare.

Engagement 52

Engagement Healthcare Medicare Communication 52

Relias

OCTOBER 10, 2022

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.

Nursing Home 52

Nursing Home Healthcare Hospice Medicare 52

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.

Nursing Home 52

Nursing Home Medicare Medicaid Hospitals 52

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 40

Hospitals Medicaid Mental Health Medicare 40