Communication, Hospitals and Medicare

Invest in Wound Care Education To Avoid Legal Risks

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

Healthcare

Healthcare Hospitals Communication Medicare

New Frequently Asked Questions on the No Surprises Act: Good Faith Estimates

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). The social worker must also communicate these changes to the patient upon delivery of a new GFE to help the patient understand what was changed between the initial GFE and the new GFE.

Psychotherapy

Psychotherapy Medicare Social Worker Nursing Home

Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

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. According to the program, hospitals with higher HCAHPS scores earn higher reimbursements.

Healthcare

Healthcare Medicare Hospitals Clinic

Webinars

The Everyday Donor: Unlocking Prospecting Segments Through Behavior Analysis

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Home Health Referrals: Grow Your Network

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings.

Medicare

Medicare Hospitals Medicaid Healthcare

Hospice Care Considerations for People With Dementia

Relias

SEPTEMBER 23, 2022

The percentage of Medicare hospice beneficiaries dying with a diagnosis of dementia or Parkinson’s disease, some of whom have dementia, has increased from 9% in 2002 to almost 21% in 2019, according to the National Hospice and Palliative Care Organization’s Facts and Figure Report 2021 Edition. Document care preferences in advance.

Hospice

Hospice Medicare Hospitals Communication

How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

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. The data is then tabulated to create the HCAHPS score. The financial impact of HCAHPS scores can be significant.

Healthcare

Healthcare Medicare Hospitals Clinic

Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

Relias

SEPTEMBER 1, 2022

With the successes reaped during the pilot of the Home Health Value-Based Purchasing (HHVBP) program, the Centers for Medicare and Medicaid Services (CMS) aims to accelerate the results nationwide. Communication. Are they sent to the hospital for evaluation because the agency does not have adequate staff to see the patient that day?

Medicare

Medicare Hospitals Medicaid Healthcare

How to Create a Ketamine Compliance Program

Relias

MARCH 5, 2025

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.

Care Coordination: The Key to Improving Patient Outcomes

Relias

FEBRUARY 26, 2024

It involves communicating and collaborating with patients, their families, and their health care teams to ensure that the patient’s needs and preferences are met and that the best possible outcomes are achieved. What is care coordination? Deliver high-quality care that is consistent with the best evidence-based standards of practice.

Telehealth

Telehealth Healthcare Communication Hospitals

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

Social Work Blog

JANUARY 5, 2022

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). CSWs who work in settings that provide emergency care (such as hospital emergency departments) where the facility is in-network, but the CSW is OON, are not permitted to balance bill patients beyond in-network cost-sharing amounts.

Clinic

Clinic Social Worker Self-harm Psychotherapy

Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

OCTOBER 28, 2022

Under the first performance year of VBP in 2023, home health agencies will be scored in part on the patient’s perception of their communication and team discussion.” Patient perception of communication and team discussion are two of those five elements. Assessing communication and collaboration. Increased scrutiny in hospices.

Hospice

Hospice Communication Clinic Patient Safety

10 Claim Denial Reasons Healthcare Organizations Should Monitor

Relias

FEBRUARY 1, 2023

Claim denials cause revenue loss at a time when hospitals are facing a serious financial crisis. That leaves hospitals and medical practices to try to get all the denials overturned. We communicate the change to the pharmacy team. Some Medicare Advantage plans are denying authorization for hospitalization.

Healthcare

Healthcare Hospitals Medicare Clinic

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. In the long run, we need a good understanding of exactly what conditions and risk factors and other aspects are affecting hospitalizations and patient care outcomes,” explained Bowman. This causes gaps in communication between the physician and the coder,” said Hess.

Clinic

Clinic Justice and Corrections Medicare Healthcare

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. In the long run, we need a good understanding of exactly what conditions and risk factors and other aspects are affecting hospitalizations and patient care outcomes,” explained Bowman. This causes gaps in communication between the physician and the coder,” said Hess.

Clinic

Clinic Justice and Corrections Medicare Healthcare

Importance of Image and Respect for Home Health Recruitment and Retention

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. Setting up caregiver mentorship programs.

Home Care

Home Care Healthcare Hospice Medicare

Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

MARCH 13, 2023

For example, a new Hospital Price Transparency Rule came into effect in 2022. Unfortunately, many hospitals are struggling to implement the new standards promptly. Formerly, hospitals did not disclose the price of individual services to patients before they received care. Why are hospitals failing their audits?

Hospitals

Hospitals Medicare Healthcare Medicaid

Survey Readiness: Post-Acute Care Compliance Checkup

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. Respectful communication and appropriate behavior. Staff training and licenses. Quality care and optimal clinical outcomes. Think like a surveyor.

Nursing Home

Nursing Home Healthcare Hospice Medicare

Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

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

Hospitals Medicaid Mental Health Medicare

Social Work Update

Invest in Wound Care Education To Avoid Legal Risks

New Frequently Asked Questions on the No Surprises Act: Good Faith Estimates

Webinars

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Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

Webinars

Home Health Referrals: Grow Your Network

Hospice Care Considerations for People With Dementia

How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

How to Create a Ketamine Compliance Program

Care Coordination: The Key to Improving Patient Outcomes

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

Why Care Coordination Is Important for Home Health and Hospice Agencies

10 Claim Denial Reasons Healthcare Organizations Should Monitor

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Importance of Image and Respect for Home Health Recruitment and Retention

Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Survey Readiness: Post-Acute Care Compliance Checkup

Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

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