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(CY) 2022 Medicare Physician Fee Schedule Proposed Rule: Key Provisions Impacting Clinical Social Workers

Social Work Blog

The Centers for Medicare and Medicaid Services (CMS) proposed CY 2022 Physician Fee Schedule (PFS) issued on July 16 includes a variety of provisions that are relevant to clinical social workers (CSWs) who are participating providers in Medicare. will expand much needed supportive care to Medicare beneficiaries.

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

Social Work Blog

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.

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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.

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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). 50-minute individual psychotherapy session, weekly until otherwise indicated). For additional recurrences beyond 12 months, the provider must provide a new GFE and communicate any changes between the initial and the new estimates.

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