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.

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Medicare Medicaid Clinic Government 116

Social Work Blog

SEPTEMBER 16, 2022

Following a recent update from the Centers 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. CMS revised the description for POS codes 02 and 10 for telehealth.

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Telehealth Medicare Medicaid Clinic 65

Social Work Blog

NOVEMBER 4, 2022

Attention Clinical Social Workers: CMS Seeking Feedback on Good Faith Estimates. Clinical social workers (CSWs) are currently required to give Good Faith Estimates (GFEs) to patients who are uninsured and patients who have insurance but do not plan to use it, [link]. A list of additional questions is available at [link].

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Medicare Medicaid Clinic Healthcare 85

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.

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Telehealth Medicare Medicaid Clinical Social Work 59

Relias

APRIL 28, 2022

Throughout the cycle, the possibility of errors looms if your staff isn’t up to speed on the complex coding demands and rules set by hospitals, insurers, and the Centers for Medicare and Medicaid Services. How Clinical Documentation Integrity Affects Revenue. of claims between 2016 and the third quarter of 2020.

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Clinic Healthcare Medicare Medicaid 52

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. April 18, 2022.

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Psychotherapy Medicare Social Worker Nursing Home 95

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.

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Clinic Justice and Corrections Medicare Healthcare 52

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.

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Clinic Justice and Corrections Medicare Healthcare 52

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. Risk assessment tools are one piece of the puzzle. Skillful Clinician Communication.

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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.

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Depression Patient Safety Mental Health Medicare 98

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. A study published in Value in Health on the cost of chronic wound care for Medicare beneficiaries revealed that nearly 15% of the patients (8.2 billion to $96.8

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Medicare Clinic Medicaid Hospitals 10

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Mandatory Telehealth Reporting.

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Medicare Telehealth Hospice Medicaid 52

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. Here’s what you need to know about value-based payments.

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Medicare Healthcare Medicaid Hospitals 52

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.

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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.

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Medicare Clinic Hospitals Medicaid 52

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.

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Healthcare Medicare Hospitals Clinic 52

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 following provides key takeaways for clinical social workers: Telehealth.

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Medicare Telehealth Clinic Mental Health 40

Relias

MARCH 1, 2023

One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network. Short video-based courses that provide a refresher on the assessment and clinical skills necessary to prevent avoidable hospitalization can be helpful.

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Hospitals Medicare Nursing Home Medicaid 52

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.

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Healthcare Medicare Hospitals Communication 52

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. Increased scrutiny in hospices. Share the documentation burden.

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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.

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Home Care Healthcare Hospice Medicare 52

Relias

OCTOBER 14, 2022

Sparkman, who is Relias Vice President and Partner, Clinical Solutions, Patient Safety and Quality, noted that despite advancements, “The U.S. In its report Improving Access to Maternal Health Care in Rural Communities , the Centers for Medicare and Medicaid Services reported that less than half of U.S.

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Telehealth Healthcare Hospitals Patient Safety 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. It’s more like stale coffee and the gentle clicking of keys on the computer. Say farewell to paper and hello to efficiency and consistency!

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Engagement Healthcare Medicare Communication 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.

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Clinic Mental Health Domestic Violence Healthcare 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. Think like a surveyor.

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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.

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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.

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Hospitals Medicaid Mental Health Medicare 40