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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). A concern of advocates, including NASW, is that individuals and families will lose coverage because of lack of communication with recipients to verify income. By Carrie Dorn, MPA, LMSW. NASW Senior Practice Associate.

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

Relias

Because CMS is a federal agency, community providers cannot simply raise their prices or shift costs to create higher DSP wages. Individual states determine provider rates and must include these rates in their state’s Medicaid Plan, which is ultimately reviewed by the Centers for Medicaid and Medicare Services (CMS).

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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. Enforcement.

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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.

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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). Providing a GFE to patients is not new to CSWs who, as part of best clinical and ethical practice, routinely discuss services and fees before or during the initial interview with new patients and provide informed consent forms.

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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. In some cases, it can even impact a patient’s treatment timeline.