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Behind the Poor Pay and High Turnover Rates of Direct Support Professionals

Relias

The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services. Use open and transparent communication strategies. The Future of DSPs.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

This causes gaps in communication between the physician and the coder,” said Hess. Department of Health and Human Services’ Office of Inspector General are cracking down on improper coding. Providers are trained to document from a clinical care standpoint. The Department of Justice and the U.S.

Clinic 52
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Planning for Medicaid Unwinding in 2023

Social Work Blog

Department of Health and Human Services first declared a 90-day public health emergency (PHE). When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees.

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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). Providing a GFE to patients is not new to CSWs who, as part of best clinical practice, routinely discuss services and fees before or during the initial interview with new patients. Federal Rule Background and Definitions.

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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). Providing a GFE to patients is not new to CSWs who, as part of best clinical practice, routinely discuss services and fees before or during the initial interview with new patients. Federal Rule Background and Definitions.

Medicare 111
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Innovations in Behavioral Healthcare: A Digital Path to Resilience

Relias

The onset of the COVID-19 pandemic drastically changed the way behavioral health and other human services organizations conduct their operations. For behavioral health and other human services, this often means using technology to find new and better ways to help?persons?served. communities ?in some providers?were?weary

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Does the Hospital Price Transparency Rule Increase Your Audit Risk?

Relias

Even providers administering care sometimes didn’t know exactly how much a procedure or service would cost. An executive order passed in 2019 directed the Department of Health and Human Services to create new guidelines to help reduce healthcare costs. Additional rules took effect in July 2022.