Remove Communication Remove Government Remove Medicare
article thumbnail

Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). For additional recurrences beyond 12 months, the provider must provide a new GFE and communicate any changes between the initial and the new estimates. The rule applies to both current and future patients who are uninsured or self-pay.

Medicare 116
article thumbnail

Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). For additional recurrences beyond 12 months, the provider must provide a new GFE and communicate any changes between the initial and the new estimates. The rule applies to both current and future patients who are uninsured or self-pay.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

The CMS Emergency Preparedness Rule: What Healthcare Organizations Need to Know

Relias

From natural disasters to pandemics and cyberattacks, healthcare organizations must be ready to protect their patients, staff, and communities under any circumstance. This regulation established consistent emergency preparedness requirements for Medicare and Medicaid providers and suppliers of all types.

article thumbnail

Behind the Poor Pay and High Turnover Rates of Direct Support Professionals

Relias

In response, many local and state governments are raising their lowest wages above the federal minimum wage set in 2009. Because CMS is a federal agency, community providers cannot simply raise their prices or shift costs to create higher DSP wages. Use open and transparent communication strategies.

Medicaid 105
article thumbnail

Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

Relias

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. Communicating consistently — Patients want to be informed. In 2019, $1.9

article thumbnail

How to Create a Ketamine Compliance Program

Relias

Regulatory compliance and CMS guidelines While Medicare only covers Spravato and R-ketamine for anesthetics in SNF or hospitals, CMS guidelines for ketamine storage, handling, and disposal are a good blueprint to follow for creating an effective ketamine compliance program. Documenting all readings to assess patient tolerance.

article thumbnail

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

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). For additional recurrences beyond 12 months, the provider must provide a new GFE and communicate any changes between the initial and the new estimates. Substantial” is defined as $400 or more). GFE and Notice Templates and Resources.

Clinic 98