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Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

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The relationship between patient satisfaction scores, reimbursement, and health outcomes The Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring helps hospitals and governing bodies evaluate patient satisfaction through quantitative measurements.

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Indian Health Service Funding: Grants and Financial Opportunities for Tribal Healthcare

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Key sources of IHS funding The IHS is primarily funded by federal appropriations, along with grants, Medicaid and Medicare reimbursements, and third-party billing. Medicaid and Medicare reimbursements Tribal health programs can enroll as Medicaid and Medicare providers to receive reimbursements for eligible services.

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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

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Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Long‐term acute care hospitals. Partial hospitalization programs. Short-term acute care hospitals. Critical access hospitals. Home health agencies.

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Home Health Referrals: Grow Your Network

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For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Pay attention to your record on patients having urgent, unplanned emergency room visits or hospital readmissions within the first 60 days of care by your agency. The obvious goal here is avoiding patient harm.

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What You Need To Know About Value-Based Payment Models

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But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

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Revenue Cycle Management Outsourcing: Training Must Be Top of Mind

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Hospitals are looking to deliver better customer service with reduced costs, and access to advanced technology without major investments. Hospitals that successfully outsource revenue cycle functions have found that training is the answer. Hospitals need honesty from vendors about the kind of claims that they should be outsourcing.

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The Payoff of Wound Care Education: Get a Return on Your Investment

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The human side focuses on positive patient outcomes, naturally, but benefits also include clinician engagement and retention. Reducing the number of hospital- or facility-acquired pressure injuries, which are nonreimbursable. Reducing hospital readmission rates by consistently attending to risk factors.