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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. clinical assessments, consultation, therapeutic care etc.) Quality Payment Program.

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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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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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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

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). For additional recurrences beyond 12 months, the provider must provide a new GFE and communicate any changes between the initial and the new estimates. The rule applies to both current and future patients who are uninsured or self-pay.

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Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

As a result, the Centers for Medicare and Medicaid Services (CMS) public rule on price transparency requirements for hospitals came into effect on January 1, 2021. Finally, enlist a communication or UX specialist to evaluate all written materials for clarity and readability. Additional rules took effect in July 2022.