Relias

JANUARY 11, 2023

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. By 2005, the Centers for Medicare and Medicaid Services (CMS) began piloting value-based care programs that linked payment to quality measures.

Medicare 52

Medicare Healthcare Medicaid Hospitals 52

Social Workers Speak

MAY 4, 2023

In my clinical work, I use the idea of empathy styles to help my clients understand the way they handle their own emotional needs, and how they either show up for or avoid their partner’s emotional needs. Kid Clinic wants to remind you and your children to take some time to slow down this month.

Medicaid 40

Medicaid Empathy Mental Health Clinic 40

Relias

JANUARY 23, 2023

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.

Depression 98

Depression Patient Safety Mental Health 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% CMS expected PDGM to drive changes in clinical group coding, comorbidity coding, and low utilization payment adjustment (LUPA) threshold. Cap on Negative Wage Index. Mandatory Telehealth Reporting.

Medicare 52

Medicare Telehealth Medicaid Hospice 52

Social Workers Speak

JUNE 10, 2022

Tracy Levine, a licensed clinical social worker , says a teen told her that “I’m graduating and I’m looking at World War III.” That’s added a complicated layer of grief and trauma onto the community, says Maria Maldonado Morales, a clinical social worker at Texas Children’s Hospital in Houston. PsychCentral.

Mental Health 40

Mental Health Clinic Social Worker Medicaid 40

Relias

OCTOBER 28, 2022

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.

Hospice 52

Hospice Communication Patient Safety Clinic 52

Social Workers Speak

DECEMBER 8, 2022

There’s a huge accessibility problem to those who are not on Medicaid within the (community mental health) system, so we need to expand that to some other insurances as well,” Brann said. “We She said for next term, lawmakers hoping to tackle mental health issues should look at expanding services that already exist and additional funding.

Mental Health 40

Mental Health Social Worker Advocacy Addiction 40

Relias

DECEMBER 13, 2021

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. Clinical assessments. Mentorship programs.

Home Care 52

Home Care Healthcare Medicare Medicaid 52

Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. The new measures included the Birthing-Friendly hospital designation to help reduce maternal mortality and morbidity.

Hospitals 40

Hospitals Medicaid Mental Health Medicare 40

Social Work Blog

JANUARY 5, 2022

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.

Clinic 98

Clinic Social Worker Self-harm Medicare 98

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. The NTA scores are based on a point system, and additional points are given to patients based on the clinical complications of their conditions. Build clinical excellence.

Medicare 10

Medicare Medicaid Clinic Hospitals 10

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. How Clinical Documentation Integrity Affects Revenue. of claims between 2016 and the third quarter of 2020.

Clinic 52

Clinic Healthcare Medicare Medicaid 52

Relias

JANUARY 8, 2024

The relationship between patient satisfaction scores, reimbursement, and health outcomes The Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring helps hospitals and governing bodies evaluate patient satisfaction through quantitative measurements.

Healthcare 52

Healthcare Medicare Hospitals Clinic 52

Relias

JUNE 1, 2022

Coding and clinical documentation have never been more important in healthcare. “We You’ll need ongoing training for your staff to improve your clinical documentation and avoid the following coding disasters. Undercoded Complex Hospital Admissions. Insufficient Clinical Documentation or Underreported codes.

Clinic 52

Clinic Justice and Corrections Healthcare Medicare 52

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. Those types of complications from hospital-acquired pressure injuries are linked to almost 60,000 U.S.

Healthcare 98

Healthcare Hospitals Communication Medicare 98

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). Part 2 focuses on services provided to the uninsured or self-pay patients who receive services provided by clinical social workers in independent practice. Clinical Manager.

Social Worker 98

Social Worker Nursing Home Medicare Medicaid 98

Relias

OCTOBER 14, 2022

No hospitals or birth centers offering obstetric care. While still having too few hospitals/birth centers, an increase to over just 60 OB providers per 10,000 births would change a county’s designation from maternity care desert to low-access. This version includes additional information for hospitals and health systems.

Telehealth 52

Telehealth Healthcare Hospitals Patient Safety 52

Relias

JULY 14, 2022

Hospitals and health systems have targeted their approaches to these issues and others to help reduce complications through adherence to evidence-based clinical protocols and reducing variation in care. Hospitals must also report on their responses to maternal health cases to reveal how equitable and effective they are.

Mental Health 52

Mental Health Patient Safety Healthcare Domestic Violence 52

Relias

OCTOBER 10, 2022

Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. Quality care and optimal clinical outcomes. Audit coding and billing to ensure clinical documentation integrity. Staff training and licenses.

Nursing Home 52

Nursing Home Healthcare Medicare Medicaid 52

Relias

APRIL 6, 2022

New requirements from the Centers for Medicare and Medicaid Services (CMS) announced in November 2021 and a new time-limited enforcement effort by the Occupational Safety and Health Administration (OSHA) announced in March call for focused inspections and put a higher level of scrutiny on nursing home compliance and the quality of care provided.

Nursing Home 52

Nursing Home Medicare Medicaid Hospitals 52

Social Workers Speak

NOVEMBER 10, 2022

So we’re in hospitals, we’re in schools, we’re doing policy, we’re in D.C. Tell them you’re not able to find providers and have them do the work for you,” said Jenna Wolfson, a licensed clinical social worker in Santa Cruz County, Calif. Terry Werner is executive director of NASW-SD: SD Voters Approve Medicaid Expansion.

Domestic Violence 40

Domestic Violence Social Worker Therapist Medicaid 40

NCCPR Child Welfare Blog

DECEMBER 27, 2023

Expand Medicaid: Less “neglect.” This has resulted in a fixation on clinical services and proprietary models rather than proactive family support. Two big new studies, one in JAMA Open and one in Academic Pediatrics examine who gets drug tested in hospitals and who doesn’t. Increase SNAP benefits: Less “neglect.”

Child Welfare 103

Child Welfare Foster Care Welfare Adoption 103