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?

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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. The Place of Service Code Set can also be found on the CMS website. Prepared by.

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Telehealth Medicare Medicaid Clinical Social Work 59

Relias

JANUARY 23, 2023

On the personal side, I want to raise awareness about the role that nurses and others play in effective screening and diagnosis for treating pregnant and post-pregnant women with PPD and PPD risks — and also, planning and arranging follow-up care or obtaining consultations prior to being discharged home.

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Depression Patient Safety Mental Health Medicare 98

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. It’s a zero-sum game,” said SimiTree Director of Operations Consulting John Rabbia, PT, PT, MS, MBA, COS-C, at the Relias webinar.

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Medicare Hospitals Medicaid Healthcare 52

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.

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Clinic Social Worker Self-harm Psychotherapy 98

Relias

FEBRUARY 1, 2023

Claim denials cause revenue loss at a time when hospitals are facing a serious financial crisis. This can cause a reduced cash flow, which can cause an organization to have a harder time paying bills and meeting their financial obligations,” said Andrew Hajde, CMPE, director of content and consulting at MGMA.

Healthcare 10

Healthcare Hospitals Medicare Clinic 10

Relias

AUGUST 11, 2022

According to the Journal of AHIMA , unresolved claim denials cause an average annual loss of $5 million per hospital. As highlighted in a 2020 Medicare CERT Report , 49% of improper payments were due to missing documentation or coding errors, which equates to revenue loss for the organization as a whole.

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