Relias

OCTOBER 25, 2021

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare 97

Medicare Therapist Medicaid Clinic 97

Social Work Blog

FEBRUARY 10, 2022

On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare- and Medicaid-certified long-term care (LTC) facilities (commonly known as nursing homes) regarding visitation during the COVID-19 pandemic. Center for Medicare Advocacy. November 12 Guidance. Endnotes. [1]

Nursing Home 122

Nursing Home Medicare Medicaid Self-harm 122

Social Work Blog

JANUARY 28, 2022

On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare- and Medicaid-certified long-term care (LTC) facilities (commonly known as nursing homes) regarding visitation during the COVID-19 pandemic. Center for Medicare Advocacy. November 12 Guidance. Endnotes. [1]

Nursing Home 75

Nursing Home Medicare Medicaid Self-harm 75

Social Work Blog

SEPTEMBER 16, 2022

Following a recent update from the Centers 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.

Telehealth 64

Telehealth Medicare Medicaid Clinic 64

The Guardian

MARCH 11, 2024

Instead, commissioner Tony Pagone wrote, every Australian should “contribute towards the financing of the aged care system through their working life” through a Medicare-style levy, therefore guaranteeing each of us the right to aged care when we eventually need it.

Medicare 16

Medicare Government 16

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.

Telehealth 59

Telehealth Medicare Medicaid Clinical Social Work 59

Social Work Blog

DECEMBER 17, 2021

Recognizing the physical and emotional toll of these visitation restrictions, the Centers for Medicare & Medicaid Services (CMS) recently updated its guidance to nursing homes regarding visitation during COVID-19.

Nursing Home 95

Nursing Home Medicare Hospice Medicaid 95

Relias

FEBRUARY 2, 2023

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A. The final rule includes a 4.1% net inflation rate update.

Medicare 52

Medicare Hospice Medicaid Telehealth 52

Relias

MAY 6, 2022

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER provides each hospice organization’s paid Medicare claims for the last three fiscal years. Jurisdictional or Medicare Administrative Contractor (MAC). PEPPER Target Areas.

Hospice 98

Hospice Medicare Rehabilitation Healthcare 98

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Mandatory Telehealth Reporting.

Medicare 52

Medicare Telehealth Hospice Medicaid 52

Relias

JANUARY 11, 2023

For example, less than 20% of Medicare spending is currently value-based. 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. But as a major difference in how most providers have operated, change has come slowly.

Medicare 52

Medicare Healthcare Medicaid Hospitals 52

Relias

NOVEMBER 4, 2021

Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. In 2020, PDGM changed reimbursement by focusing more on patient characteristics.

Medicare 52

Medicare Hospice Healthcare Medicaid 52

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

Medicare 52

Medicare Hospice Rehabilitation Hospitals 52

Social Work Blog

SEPTEMBER 8, 2022

On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule of the Physician Fee Schedule (PFS) that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2023. The proposed changes may impact social workers and other Medicare providers in various settings.

Medicare 40

Medicare Telehealth Clinic Mental Health 40

Relias

JANUARY 8, 2024

Medicare payment systems link patient satisfaction scores with reimbursement rates, making quality patient care a primary determinant of an organization’s viability and motivating healthcare administrators to implement patient satisfaction strategies. But gaining patient trust isn’t the only benefit of high patient satisfaction scores.

Healthcare 52

Healthcare Medicare Hospitals Clinic 52

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

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Those quality ratings appear on Medicare’s Care Compare website and inform prospective clients how well you’re achieving positive outcomes. Improve Your Quality Ratings.

Medicare 52

Medicare Hospitals Medicaid Healthcare 52

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. Repeated pressure exposure on the same area will result in the degradation of the skin’s integrity, literally opening the skin up to infection.

Medicare 98

Medicare Healthcare Patient Safety Rehabilitation 98

Michigan Social Work

JUNE 16, 2022

In Washington, new legislation to increase Medicare reimbursement rates for clinical social workers has been introduced in both chambers of Congress. These crucial investments would bring hundreds of new professionals into communities across Michigan over the next three years through investing in students, training and research.

Medicare 52

Medicare Mental Health Clinic Schools 52

Relias

MARCH 1, 2023

One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network. She encouraged hospital providers to increase the amount to 80%-90%.

Hospitals 52

Hospitals Medicare Nursing Home Medicaid 52

Social Work Blog

DECEMBER 21, 2021

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

Medicare 98

Medicare Medicaid Clinic Clinical Social Work 98

Relias

APRIL 18, 2022

Medicare payment models in skilled nursing and home health provide incentives for clinicians to be well versed in specialty areas such as skin and wound care. Chronic wounds affect about 15% of Medicare beneficiaries each year. Increase Reimbursements Based on Clinical Complexity. Build Your Reputation as a Specialist.

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

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.

Hospitals 52

Hospitals Medicare Healthcare Medicaid 52

Swhelper

APRIL 25, 2018

2613), legislation that would increase public access to the vital mental health services that clinical social workers provide and offer clinical social workers more adequate Medicare reimbursement […] View Full Article - Senate Bill Introduce to Improve Access to the Mental Health Act

Mental Health 52

Mental Health Medicare Clinic Social Worker 52

Relias

JANUARY 30, 2024

Healthcare organizations receive scores from the HCAHPS survey , which according to the Centers for Medicare and Medicaid Services, is “the first national, standardized, publicly reported survey of patients’ perspectives of hospital care.” The data is then tabulated to create the HCAHPS score.

Healthcare 52

Healthcare Medicare Hospitals Clinic 52

Relias

SEPTEMBER 23, 2022

The percentage of Medicare hospice beneficiaries dying with a diagnosis of dementia or Parkinson’s disease, some of whom have dementia, has increased from 9% in 2002 to almost 21% in 2019, according to the National Hospice and Palliative Care Organization’s Facts and Figure Report 2021 Edition.

Hospice 52

Hospice Medicare Hospitals Communication 52

Social Work Blog

MAY 5, 2023

The QPP allows eligible clinicians who are reimbursed for Medicare Part B services to receive a bonus for improving the quality of patient care and health outcomes. Clinical Practice: April / May 2023 A new Tips & Tools for Social Workers, CMS 2023 Quality Payment Program for Clinical Social Workers , is available.

LMSW 52

LMSW Medicare Foster Care Mental Health 52

Social Work Blog

DECEMBER 21, 2021

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. Templates and Resources.

Medicare 116

Medicare Medicaid Clinic Government 116

Social Work Blog

MARCH 3, 2022

From lobbying for voting rights to more social work-specific legislation—like social worker safety, social work reinvestment, Medicare reimbursement and student loan forgiveness—NASW continues to fight for social workers and their clients.

Code of Ethics 52

Code of Ethics Telehealth Medicare Advocacy 52

Social Work Blog

APRIL 18, 2022

The Centers for Medicare and Medicaid Services (CMS) has released clarifying information about Part 2 of the No Surprise Act, Good Faith Estimates (GFEs). April 18, 2022. The frequently asked questions (FAQs) answer many of the questions that social workers asked when the No Surprise Act was implemented in January 2022.

Psychotherapy 94

Psychotherapy Medicare Social Worker Nursing Home 94

Relias

JUNE 19, 2023

According to a 2021 report from the United States Government Accountability Office, Medicare spending on stays for severe wound care declined about 2% from $2.06 billion in fiscal year 2016 to $2.01 billion in fiscal year 2018.

Healthcare 52

Healthcare Rehabilitation Medicare Clinic 52

Relias

OCTOBER 7, 2021

Medicare and other payers also encourage home-based care when appropriate to keep the cost of care low compared with skilled nursing facilities and hospitals. Many older people naturally want to stay in their homes and close to their families for as long as possible. Financial Drain From Employee Churn.

Hospice 96

Hospice Healthcare Medicare Administration 96

Relias

JANUARY 23, 2023

Research cited in our study showed that screening occurred in less than two-thirds of mothers, with considerable variation depending on race, income-level, and Medicaid/Medicare status. It also emphasized that identification and treatment of PPD are important to avoid its potentially devastating effects.

Depression 98

Depression Patient Safety Mental Health Medicare 98

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital.

Healthcare 98

Healthcare Hospitals Communication Medicare 98

Relias

APRIL 28, 2022

Throughout the cycle, the possibility of errors looms if your staff isn’t up to speed on the complex coding demands and rules set by hospitals, insurers, and the Centers for Medicare and Medicaid Services.

Clinic 52

Clinic Healthcare Medicare Medicaid 52

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. A study published in Value in Health on the cost of chronic wound care for Medicare beneficiaries revealed that nearly 15% of the patients (8.2 billion to $96.8

Medicare 10

Medicare Clinic Medicaid Hospitals 10