article thumbnail

Calendar Year (CY) 2023 Proposed Rule for Medicare Physician Fee Schedule

Social Work Blog

On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule of the Physician Fee Schedule that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2023. Box 8016, Baltimore, MD 21244-8016. By express or overnight mail.

article thumbnail

Behind the Poor Pay and High Turnover Rates of Direct Support Professionals

Relias

Individual states determine provider rates and must include these rates in their state’s Medicaid Plan, which is ultimately reviewed by the Centers for Medicaid and Medicare Services (CMS). Because CMS is a federal agency, community providers cannot simply raise their prices or shift costs to create higher DSP wages.

Medicaid 105
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Medicare Open Enrollment: What’s New for 2022 and How You Can Help Your Clients

Social Work Blog

Each fall, Medicare beneficiaries can review, compare, and change their coverage options during the Medicare Open Enrollment Period (OEP). The Medicare OEP is distinct from Health Insurance Marketplace Open Enrollment , which occurs November 1 through December 15.). (The Posted November 12, 2021. Language Access.

Medicare 104
article thumbnail

Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Department of Health and Human Services’ Office of Inspector General are cracking down on improper coding. The Department of Justice and the U.S. One health system settled a False Claims Act case for $90 million for knowingly submitting inaccurate diagnosis codes.

Clinic 52
article thumbnail

Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Providing a GFE to patients is not new to CSWs who, as part of best clinical practice, routinely discuss services and fees before or during the initial interview with new patients. Federal Rule Background and Definitions.

article thumbnail

Innovations in Behavioral Healthcare: A Digital Path to Resilience

Relias

The onset of the COVID-19 pandemic drastically changed the way behavioral health and other human services organizations conduct their operations. For behavioral health and other human services, this often means using technology to find new and better ways to help?persons?served. human services?professionals

article thumbnail

Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

Even providers administering care sometimes didn’t know exactly how much a procedure or service would cost. An executive order passed in 2019 directed the Department of Health and Human Services to create new guidelines to help reduce healthcare costs. In some cases, it can even impact a patient’s treatment timeline.