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Change Healthcare Cyberattack: What Social Workers Should Know

Social Work Blog

The attack targeted UnitedHealth Group’s subsidiary Change Healthcare, a technology clearinghouse that manages billing and administrative tasks for healthcare organizations. CMS is also urging Medicaid plans to make prospective payments to those affected.

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Update: Nursing Home Visitation During the COVID-19 Pandemic

Social Work Blog

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.

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

Relias

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.

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Importance of Image and Respect for Home Health Recruitment and Retention

Relias

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.

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Planning for Medicaid Unwinding in 2023

Social Work Blog

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. The Biden-Harris administration has committed to providing a 60-day notice to states before the PHE will expire.

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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.

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Maximizing Healthcare Reimbursement Through Higher Patient Satisfaction Scores

Relias

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.