Relias

FEBRUARY 28, 2025

Key sources of IHS funding The IHS is primarily funded by federal appropriations, along with grants, Medicaid and Medicare reimbursements, and third-party billing. Medicaid and Medicare reimbursements Tribal health programs can enroll as Medicaid and Medicare providers to receive reimbursements for eligible services.

Healthcare 52

Healthcare Medicare Medicaid Substance Abuse 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. Reducing the number of hospital- or facility-acquired pressure injuries, which are nonreimbursable.

Medicare 52

Medicare Clinic Hospitals Medicaid 52

Relias

JANUARY 8, 2024

The relationship between patient satisfaction scores, reimbursement, and health outcomes The Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring helps hospitals and governing bodies evaluate patient satisfaction through quantitative measurements.

Healthcare 52

Healthcare Medicare Hospitals Clinic 52

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. The NTA scores are based on a point system, and additional points are given to patients based on the clinical complications of their conditions. Build clinical excellence.

Medicare 10

Medicare Clinic Medicaid Hospitals 10

Relias

JANUARY 11, 2023

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. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare 52

Medicare Healthcare Medicaid Hospitals 52

Relias

JANUARY 30, 2024

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. Researchers have studied the connection between patient experience and clinical outcomes.

Healthcare 52

Healthcare Medicare Hospitals Clinic 52

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% CMS expected PDGM to drive changes in clinical group coding, comorbidity coding, and low utilization payment adjustment (LUPA) threshold. Cap on Negative Wage Index. Mandatory Telehealth Reporting.

Medicare 52

Medicare Telehealth Hospice Medicaid 52

Relias

MARCH 12, 2025

Whether its skilled nursing facilities, hospitals, or home health agencies, regulatory bodies require that healthcare providers demonstrate competency in delivering patient care. Rather than just testing knowledge, these evaluations measure how well employees apply their skills in a clinical setting.

Patient Safety 40

Patient Safety Healthcare Medicare Clinic 40

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 52

Hospice Communication Clinic Patient Safety 52

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 52

Home Care Hospice Healthcare Medicare 52

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. Emergency Providers at In-Network Facilities.

Clinic 98

Clinic Social Worker Self-harm Psychotherapy 98

Bipolar Bandit

SEPTEMBER 3, 2021

I increasingly realized that there is no opportunity to influence legislators to change the system in the clinical setting. I wrote Breakdown to appeal for legislative reform because it’s nearly impossible to change the system from within the trenches of clinical work. I can authorize involuntary transfers of patients to hospitals.

Psychiatry 98

Psychiatry Interviewing Psychiatric Schizophrenia 98

Child Welfare Monitor

JULY 22, 2024

.” 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.

Foster Care 147

Foster Care Interventional Child Welfare Medicaid 147

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. Those types of complications from hospital-acquired pressure injuries are linked to almost 60,000 U.S.

Healthcare 98

Healthcare Hospitals Communication Medicare 98

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 98

Depression Patient Safety Mental Health Medicare 98

Relias

OCTOBER 14, 2022

No hospitals or birth centers offering obstetric care. While still having too few hospitals/birth centers, an increase to over just 60 OB providers per 10,000 births would change a county’s designation from maternity care desert to low-access. This version includes additional information for hospitals and health systems.

Telehealth 52

Telehealth Healthcare Hospitals Patient Safety 52

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. Audit coding and billing to ensure clinical documentation integrity. Staff training and licenses.

Nursing Home 52

Nursing Home Healthcare Hospice Medicare 52

Relias

JULY 14, 2022

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. Hospitals must also report on their responses to maternal health cases to reveal how equitable and effective they are.

Mental Health 52

Mental Health Patient Safety Healthcare Domestic Violence 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. The new measures included the Birthing-Friendly hospital designation to help reduce maternal mortality and morbidity.

Hospitals 40

Hospitals Medicaid Mental Health Medicare 40

NCCPR Child Welfare Blog

DECEMBER 27, 2023

Expand Medicaid: Less “neglect.” This has resulted in a fixation on clinical services and proprietary models rather than proactive family support. Two big new studies, one in JAMA Open and one in Academic Pediatrics examine who gets drug tested in hospitals and who doesn’t. Increase SNAP benefits: Less “neglect.”

Child Welfare 109

Child Welfare Foster Care Welfare Adoption 109