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CMS Creates Additional Place of Service Code for Telehealth

Social Work Blog

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. Senior Practice Associate, Clinical Social Work. Prepared by. Denise Johnson, LCSW-C.

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New Peripartum Depression Study Shows Gap Between Screening and Outcomes

Relias

I am a nurse with many years of clinical experience and now a vice president and partner in clinical solutions at Relias. 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.

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Why Care Coordination Is Important for Home Health and Hospice Agencies

Relias

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Busy clinical managers can’t bear the documentation burden alone.

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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. Emergency Providers at In-Network Facilities.

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10 Claim Denial Reasons Healthcare Organizations Should Monitor

Relias

Claim denials cause revenue loss at a time when hospitals are facing a serious financial crisis. 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.

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Improve Your Revenue Cycle with Accurate Coding

Relias

Clinical documentation integrity within this record is essential in both the revenue cycle and patient care processes. According to the Journal of AHIMA , unresolved claim denials cause an average annual loss of $5 million per hospital. It enhances clinical, financial, and administrative planning and performance monitoring.

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