Social Work Blog

NOVEMBER 4, 2022

The Center for Medicare and Medicaid Services (CMS) is seeking feedback from clinical social workers and other providers about how they should provide estimates for costs of services for patients who use their insurance to pay for health and mental health services.

Medicare 85

Medicare Medicaid Clinic Healthcare 85

Social Work Blog

MARCH 20, 2024

Commonly referred to as Obamacare, this is a moment to reflect on the deep impact this revolutionary legislation has had on the healthcare landscape in the United States. have expanded Medicaid to provide health insurance coverage and health care access to more individuals and families than ever before. Today, 40 states and D.C.

Social Worker 75

Social Worker Healthcare Medicaid Disability 75

Relias

APRIL 28, 2023

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. The Agency for Healthcare Research and Quality’s patient safety tool, Preventing Pressure Ulcers in Hospitals , also provides helpful guidance.

Medicare 98

Medicare Healthcare Patient Safety Rehabilitation 98

Relias

APRIL 18, 2025

In the ever-evolving world of healthcare, patient experience has emerged as a key indicator of quality care. From improving patient satisfaction to fostering trust, a focus on patient-centered care has become a necessity for healthcare organizations. In healthcare, the experience of the patient is the new marketing.

Healthcare 40

Healthcare Empathy Medicare Medicaid 40

Relias

JANUARY 11, 2023

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. Healthcare organizations in the U.S. For example, less than 20% of Medicare spending is currently value-based. Why the change to value-based care?

Medicare 52

Medicare Healthcare Medicaid Hospitals 52

Relias

APRIL 28, 2022

Revenue cycle management (RCM) is the financial process that makes it possible for most healthcare organizations to fulfill their mission of providing quality care for patients and communities. RCM is the set of functions that comprise the capture, management, and collection of patient service revenue in a healthcare organization.

Clinic 52

Clinic Healthcare Medicare Medicaid 52

Relias

SEPTEMBER 22, 2023

They take an active stance in managing the utilization of client healthcare services and in improving client outcomes. The care coordination trend goes by many names and has been seen across the continuum of care but has been most prevalent in the Medicaid world as part of the Health Home model.

Healthcare 52

Healthcare Communication Medicaid Treatment Planning 52

Center for Child Protection

JUNE 26, 2024

February: Dell Children’s Health Plan provides essential healthcare coverage for pregnant mothers, newborns, and children, assisting with Medicaid and other applications to ensure their clients receive necessary healthcare.

Domestic Violence 52

Domestic Violence Community Outreach Confidentiality Advocacy 52

Relias

JANUARY 30, 2024

Improving patient experience scores is a goal for many healthcare organizations — and for good reason. 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.

Healthcare 52

Healthcare Medicare Hospitals Clinic 52

Relias

JUNE 28, 2023

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), integrated care is defined as “the systematic coordination of general and behavioral healthcare.” To provide the best services possible, healthcare organizations of all kinds must understand how to implement integrated care management.

Healthcare 52

Healthcare Mental Health Psychiatric Psychosocial 52

Relias

MARCH 12, 2025

Regulatory drivers and competency standards Compliance with federal and state regulations is a top priority for healthcare organizations. Whether its skilled nursing facilities, hospitals, or home health agencies, regulatory bodies require that healthcare providers demonstrate competency in delivering patient care.

Patient Safety 40

Patient Safety Healthcare Medicare Clinic 40

Relias

JUNE 1, 2023

There’s good news, however — healthcare organizations are finding ways to make low-cost improvements in everything from pre-service processes to post-service collections through revenue cycle optimization. The percentage is even higher in our heavier Medicaid markets,” said Hermosillo. And they are getting results.

Healthcare 52

Healthcare Administration Medicaid Hospitals 52

Relias

JUNE 1, 2023

There’s good news, however — healthcare organizations are finding ways to make low-cost improvements in everything from pre-service processes to post-service collections through revenue cycle optimization. The percentage is even higher in our heavier Medicaid markets,” said Hermosillo. And they are getting results.

Healthcare 52

Healthcare Administration Medicaid Hospitals 52

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. Increased Compensation.

Home Care 52

Home Care Healthcare Hospice Medicare 52

Relias

MARCH 15, 2022

Training can make all the difference with revenue cycle management outsourcing, healthcare leaders have found. “In Brooks, vice president of revenue cycle at Minneapolis-based Hennepin Healthcare. I tell people all the time: An outsource partner is an extension of your business office,” said Phillip E.

Hospitals 52

Hospitals Healthcare Medicaid Consultation 52

Relias

DECEMBER 8, 2022

But there is a particular educational tool that tends to fall under the radar of many healthcare organizations. Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). We all love free tools that help our organizations perform better.

Medicare 52

Medicare Hospice Rehabilitation Hospitals 52

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). You can bet your referral sources for home healthcare will be paying attention to these risk scores, too. Keep in mind that your referral sources for home health are actively looking at your quality ratings.

Medicare 52

Medicare Hospitals Medicaid Healthcare 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. Coding is high value — and in high demand. We are seeing sign-on bonuses. Downcoding by Payers.

Clinic 52

Clinic Justice and Corrections Medicare Healthcare 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We At Sharp HealthCare, staff members were doing everything right — they used the correct codes, obtained authorizations, and scheduled services appropriately. Coding is high value — and in high demand. We are seeing sign-on bonuses. Downcoding by Payers.

Clinic 52

Clinic Justice and Corrections Medicare Healthcare 52

Relias

NOVEMBER 4, 2021

The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. Many healthcare professionals have reported feeling undervalued and underpaid amid the high demands of the COVID-19 pandemic.

Medicare 52

Medicare Hospice Healthcare Medicaid 52

Relias

OCTOBER 28, 2022

Improved care quality and patient safety, reduced readmissions and ER visits, and lower healthcare costs are just some of the positive outcomes of effective care coordination. A well-designed care coordination process benefits patients, providers, and payer organizations. Increased scrutiny in hospices.

Hospice 52

Hospice Communication Clinic Patient Safety 52

Relias

APRIL 18, 2022

For home health agencies, wounds are one of 12 clinical groupings the Centers for Medicare and Medicaid Services (CMS) identifies under the Patient-Driven Groupings Model. More than 17,000 lawsuits related to pressure injuries are filed each year, according to the Agency for Healthcare Research and Quality.

Medicare 52

Medicare Clinic Hospitals Medicaid 52

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. The program started in 2016 as a pilot to determine the impact of financial incentives on home health agencies in nine states.

Medicare 52

Medicare Hospitals Medicaid Healthcare 52

KVC

SEPTEMBER 9, 2024

Due to inadequate foster care prevention spending on concrete supports like temporary food or housing assistance and a lack of access to mental and physical healthcare, many states far exceed the national rate of children in foster care.

Foster Care 59

Foster Care Child Welfare Mental Health Welfare 59

Relias

AUGUST 9, 2023

Tis the season for evaluating training programs and checking everything twice to make sure you’re on the Center for Medicare and Medicaid Services’ and The Joint Commission’s nice lists. One robust, magical platform “Platform” is something we hear quite often in IT, and it’s becoming ever more prevalent in healthcare.

Engagement 52

Engagement Healthcare Medicare Communication 52

Child Welfare Monitor

JULY 22, 2024

.” It does not define RTF’s, but the term clearly refers to facilities that provide behavioral health services in a residential context to children with funding from programs under SFC jurisdiction, mainly Medicaid and foster care funds under Title IV-E of the Social Security Act.

Foster Care 153

Foster Care Interventional Child Welfare Medicaid 153

Relias

NOVEMBER 9, 2023

of citizens identifying as American Indian or Alaska Native relied on Medicaid or other public health insurance, and 14.9% on Medicaid or public health insurance and only 6.3% without coverage — Native American healthcare disparities clearly still exist despite efforts to eradicate them. had no coverage at all. with 34.3%

Healthcare 59

Healthcare Telehealth Medicaid Clinic 59

Relias

MAY 1, 2022

The Agency for Healthcare Research and Quality calculates that more than 17,000 lawsuits related to pressure injuries are filed each year — second only to wrongful death suits. Understanding the legal implications of gaps in care can help protect all involved: physicians, nurses, other caregivers, and healthcare administrators and leaders.

Healthcare 98

Healthcare Hospitals Communication Medicare 98

Relias

JANUARY 23, 2023

In our study, we noted that as few as 28% of women with PPD symptoms reported them to a healthcare provider. My colleagues and I work to help improve maternal health outcomes by providing the best education and competency evaluation solutions for the healthcare workforce. on referrals for behavioral health care.

Depression 98

Depression Patient Safety Mental Health Medicare 98

Relias

OCTOBER 14, 2022

maternal mortality continues to increase despite the availability of world-class healthcare resources. Along with providing training and resources, they help midwives overcome the distrust of healthcare providers that often surfaces in marginalized populations. In the U.S., million U.S. Department of Health and Human Services.

Telehealth 52

Telehealth Healthcare Hospitals Patient Safety 52

Relias

OCTOBER 10, 2022

Federal and state agencies’ routine surveys of healthcare organizations can be stressful. With the Biden administration advocating for stricter scrutiny on nursing homes, we know inspection of healthcare facilities may increase even more. Regardless of the healthcare setting, you don’t want to be on this type of list.

Nursing Home 52

Nursing Home Healthcare Hospice Medicare 52

Relias

MARCH 29, 2024

In 2006, California established the California Maternal Quality Care Collaborative (CMQCC), a public-private partnership that brings together healthcare providers, hospitals, health plans, public health agencies, and consumer groups to improve maternal health and reduce disparities. Maternal mortality in the U.S.

Healthcare 52

Healthcare Hospitals Medicaid Case Management 52

Relias

FEBRUARY 26, 2024

According to the Agency for Healthcare Research and Quality (AHRQ), care coordination is “the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services.”

Telehealth 52

Telehealth Healthcare Communication Hospitals 52

Relias

OCTOBER 18, 2022

Today, Jhpiego is still pursuing its mission of providing reproductive health training and empowering healthcare providers with tools and methods to improve maternal and child health and manage infectious diseases in over 30 countries. Medicaid covers 43% of all deliveries but only provides 60 days of postpartum coverage.

Healthcare 52

Healthcare Medicaid University Interviewing 52

Social Work Blog

DECEMBER 19, 2022

When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees. Unwinding refers to the return to normal operations for Medicaid and CHIP agencies after the COVID-19 PHE ends.

Medicaid 98

Medicaid Advocacy Communication Social Worker 98

Relias

JANUARY 16, 2023

A McKinsey & Company survey shows that up to $265 billion worth of care services could shift from traditional healthcare facilities to the home by 2025. The Centers for Medicare and Medicaid Services (CMS) will expand its enforcement actions against poorly-performing facilities. The post 2023 Healthcare Trends: Are You Ready?

Healthcare 52

Healthcare Telehealth Medicare Nursing Home 52

Relias

JULY 14, 2022

These grim statistics are not news for healthcare organizations. She continues to use her platform to be proactive and make an impact and was named one of the Top 25 Women Leaders in Healthcare Software in 2022 by The Healthcare Technology Report. Maternal Risk Factors: Social Determinants and Mental Health.

Mental Health 52

Mental Health Patient Safety Healthcare Domestic Violence 52