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Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

Relias

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. It’s a zero-sum game,” said SimiTree Director of Operations Consulting John Rabbia, PT, PT, MS, MBA, COS-C, at the Relias webinar.

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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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Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

For example, a new Hospital Price Transparency Rule came into effect in 2022. Unfortunately, many hospitals are struggling to implement the new standards promptly. Formerly, hospitals did not disclose the price of individual services to patients before they received care. Why are hospitals failing their audits?

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

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). CSWs who work in settings that provide emergency care (such as hospital emergency departments) where the facility is in-network, but the CSW is OON, are not permitted to balance bill patients beyond in-network cost-sharing amounts.

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