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.

Depression 98

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.

Medicare 52

Medicare Hospitals Medicaid Healthcare 52

Social Work Blog

JANUARY 5, 2022

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Here is a link to resources including templates by the Centers for Medicare and Medicaid Services (CMS) that can be used to prepare good faith estimates and model language for informing patients of their rights to GFE.

Clinic 98

Clinic Social Worker Self-harm Psychotherapy 98

Relias

AUGUST 11, 2022

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. Working with the right partner can help you navigate the process of finding the best coding consulting and other resources.

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Clinic Medicare Healthcare Administration 52

Relias

FEBRUARY 1, 2023

“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. Some Medicare Advantage plans are denying authorization for hospitalization. Denied claims quickly become uncollectible.

Healthcare 10

Healthcare Hospitals Medicare Clinic 10

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.

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Hospice Communication Clinic Patient Safety 52

Relias

MARCH 13, 2023

As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021. A patient access management audit may include a review of documentation such as Medicare Secondary Questionnaires and Advanced Beneficiary Notices.

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Hospitals Medicare Healthcare Medicaid 52