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CY 2022 Medicare Quality Payment Program for Clinical Social Workers: Frequently Asked Questions

Social Work Blog

MIPS was designed to tie payments to quality and cost efficient care, drive improvement in care processes and health outcomes, increase the use of healthcare information, and reduce the cost of care. Medicare has identified 15 measures that CSWs may use to report quality services. 15 other provider types participate in the QPP.

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How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Relias

Improving patient experience scores is a goal for many healthcare organizations — and for good reason. As they consider new ideas to raise patient satisfaction, healthcare leaders must have an understanding of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring system that evaluates these efforts.

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Hospice Billing Compliance: The Latest PEPPER Updates

Relias

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. healthcare providers. A CMS contractor who develops and distributes PEPPER — TMF Health Quality Institute — organizes and creates the report to monitor healthcare program integrity.

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Care Coordination: The Key to Improving Patient Outcomes

Relias

According to the Agency for Healthcare Research and Quality (AHRQ), care coordination is “the deliberate organization of patient care activities between two or more participants (including the patient) involved in a patient’s care to facilitate the appropriate delivery of health care services.”

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American Dementia: Brain Health in an Unhealthy Society

inSocialWork

Soon, Medicare will issue a decision about whether they will cover Aduhelm (Aducanumab) – the new Alzheimer’s Disease (AD) treatment – the expensive and controversial medication approved by the FDA last June with mixed support from the scientific and Alzheimer’s community. These guys shake trees.

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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

But there is a particular educational tool that tends to fall under the radar of many healthcare organizations. Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Medicare has identified 10 target areas as risky for proper payments.

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The Payoff of Wound Care Education: Get a Return on Your Investment

Relias

Medicare payment models in skilled nursing and home health provide incentives for clinicians to be well versed in specialty areas such as skin and wound care. Chronic wounds affect about 15% of Medicare beneficiaries each year. Increase Reimbursements Based on Clinical Complexity. Build Your Reputation as a Specialist.