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Change Healthcare Cyberattack: What Social Workers Should Know

Social Work Blog

By Denise Johnson, LCSW-C Senior Practice Associate March 2024 In February 2024, a major healthcare cybersecurity attack occurred, affecting many patients and providers including clinical social workers (CSWs). As a result, Change Healthcare became temporarily paralyzed, causing payment disruptions and delays in patient care.

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What You Need To Know About Value-Based Payment Models

Relias

For example, less than 20% of Medicare spending is currently value-based. But momentum will continue, since the Centers for Medicare and Medicaid Services (CMS) announced in 2021 that it plans to transition fully to value-based reimbursement by 2030. Healthcare organizations in the U.S. Why the change to value-based care?

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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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CMS Seeks Feedback on Good Faith Estimates

Social Work Blog

The Center for Medicare and Medicaid Services (CMS) is seeking feedback from clinical social workers and other providers about how they should provide estimates for costs of services for patients who use their insurance to pay for health and mental health services.

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7 Steps To Prevent Pressure Sores

Relias

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. Put These Steps Into Action Today Healthcare leaders can take many different paths to reducing pressure sores among their older clients.

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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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Home Health Specializations Boost Performance, Bottom Line

Relias

Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. Increasing agency profitability.