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(CY) 2022 Medicare Physician Fee Schedule Proposed Rule: Key Provisions Impacting Clinical Social Workers

Social Work Blog

The Centers for Medicare and Medicaid Services (CMS) proposed CY 2022 Physician Fee Schedule (PFS) issued on July 16 includes a variety of provisions that are relevant to clinical social workers (CSWs) who are participating providers in Medicare. Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).

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Home Health CoPs Update: New Opportunities for OTs

Relias

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.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

Under the first performance year of VBP in 2023, home health agencies will be scored in part on the patient’s perception of their communication and team discussion.” Patient perception of communication and team discussion are two of those five elements. Assessing communication and collaboration. Increased scrutiny in hospices.

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UPDATE: Federal Rule to Prevent Surprise Health Care Billing – Application to Clinical Social Workers

Social Work Blog

We are also advocating on behalf of clinical social workers with key federal regulatory agencies and other stakeholders. Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Document the GFE in the clinical record. Background on Federal Rule. Timeframes.

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10 Claim Denial Reasons Healthcare Organizations Should Monitor

Relias

“This can cause a reduced cash flow, which can cause an organization to have a harder time paying bills and meeting their financial obligations,” said Andrew Hajde, CMPE, director of content and consulting at MGMA. We communicate the change to the pharmacy team. Denied claims quickly become uncollectible.

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Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Application to Clinical Social Work Services. Under a new federal rule to protect consumers from surprise health care bills, clinical social workers and other health care provider types must, effective January 1, 2022, provide a good faith estimate of expected charges. Document the GFE in the clinical record. December 21, 2021.

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Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Application to Clinical Social Work Services. Under a new federal rule to protect consumers from surprise health care bills, clinical social workers and other health care provider types must, effective January 1, 2022, provide a good faith estimate of expected charges. Document the GFE in the clinical record. December 2021.

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