Relias

APRIL 28, 2023

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. The Agency for Healthcare Research and Quality’s patient safety tool, Preventing Pressure Ulcers in Hospitals , also provides helpful guidance.

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Medicare Healthcare Hospitals Patient Safety 98

Relias

DECEMBER 8, 2022

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Long‐term acute care hospitals. Partial hospitalization programs. Short-term acute care hospitals. Critical access hospitals. Home health agencies.

Medicare 52

Medicare Hospitals Rehabilitation Medicaid 52

Relias

FEBRUARY 26, 2024

” The Centers for Medicare and Medicaid Services (CMS) defines care coordination more holistically as “the process of ensuring that the patient’s health needs and preferences for health information and services are met across the continuum of care.”

Telehealth 52

Telehealth Healthcare Communication Hospitals 52

Social Workers Speak

MAY 4, 2023

Brian Mares is government relations director for NASW-TX: When it comes to upping mental health services, Texas has a Medicaid problem Texas Tribune Bryan Mares, government relations director for the Texas chapter of the National Association of Social Workers , cited the Medicaid payment rate for counseling sessions as a main sticking point.

Medicaid 52

Medicaid Empathy Mental Health Clinic 52

Relias

DECEMBER 21, 2021

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). Pay attention to your record on patients having urgent, unplanned emergency room visits or hospital readmissions within the first 60 days of care by your agency. The obvious goal here is avoiding patient harm.

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Medicare Hospitals Medicaid Healthcare 52

Relias

MARCH 15, 2022

Hospitals are looking to deliver better customer service with reduced costs, and access to advanced technology without major investments. Hospitals that successfully outsource revenue cycle functions have found that training is the answer. Hospitals need honesty from vendors about the kind of claims that they should be outsourcing.

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Hospitals Healthcare Medicaid Consultation 52

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% To smooth year-to-year changes in the hospital wage index, CMS proposes a 5% cap on negative wage index changes for home health agencies, regardless of the underlying reason for the decrease.

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Medicare Telehealth Medicaid Hospice 52

Relias

APRIL 18, 2022

Reducing the number of hospital- or facility-acquired pressure injuries, which are nonreimbursable. Reducing hospital readmission rates by consistently attending to risk factors. Of course, CMS will not reimburse for costs associated with hospital- or facility-acquired pressure injuries. Reduce Hospital Readmissions.

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Medicare Hospitals Clinic Medicaid 52

Social Work Blog

APRIL 18, 2022

The Centers for Medicare and Medicaid Services (CMS) has released clarifying information about Part 2 of the No Surprise Act, Good Faith Estimates (GFEs). April 18, 2022. The frequently asked questions (FAQs) answer many of the questions that social workers asked when the No Surprise Act was implemented in January 2022.

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Social Workers Speak

MAY 4, 2023

Brian Mares is government relations director for NASW-TX: When it comes to upping mental health services, Texas has a Medicaid problem Texas Tribune Bryan Mares, government relations director for the Texas chapter of the National Association of Social Workers , cited the Medicaid payment rate for counseling sessions as a main sticking point.

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Medicaid Empathy Mental Health Clinic 40

Social Work Blog

MAY 11, 2023

Safe and effective, COVID-19 vaccines have been shown to prevent severe illness, hospitalization, and death. The Committee’s position has been evolving over the last several months. Learn more about Connect to End COVID-19 by visiting NASW’s website.

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Social Worker Communication Human Services Interviewing 96

Relias

SEPTEMBER 1, 2022

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. Are they sent to the hospital for evaluation because the agency does not have adequate staff to see the patient that day?

Medicare 52

Medicare Hospitals Medicaid Healthcare 52

Relias

JANUARY 23, 2023

Our recent study and article aim to bring to light the fact that hospitals need to evaluate their PPD risk assessment process and take appropriate steps to treat patients and provide aftercare in their respective communities. She in fact did have PPD, and sadly, was not treated at all for two years post-delivery.

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Depression Patient Safety Mental Health Medicare 98

Beautiful Voyager

JANUARY 29, 2022

I was entrusted to a mental hospital in Brattleboro, Vermont at age fifteen. This would be the first of many unsuccessful psychiatric hospital stays. I begin looking further into more advanced rehabs, but research has shown me that I couldn’t find one mental rehabilitation center that accepted Medicaid or Medicare in the US.

Mental Health 52

Mental Health Substance Abuse Rehabilitation Medicare 52

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. In the long run, we need a good understanding of exactly what conditions and risk factors and other aspects are affecting hospitalizations and patient care outcomes,” explained Bowman. Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues.

Clinic 52

Clinic Justice and Corrections Healthcare Medicare 52

NCCPR Child Welfare Blog

JUNE 24, 2022

And CAPTA drives women away from seeking prenatal care and away from giving birth in hospitals, through provisions demanding that states turn them in to the family police if their newborns are “affected” by drugs. CAPTA isn’t the only part of Social Current’s agenda that belies Templeman’s rhetoric.

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Child Welfare Welfare Foster Care Medicaid 98

Relias

DECEMBER 13, 2021

An unintended, but positive offshoot of the pandemic is that the crisis highlighted home health’s “very quick and successful adjustments” and “versatility” to serve COVID-19 patients and millions of others served under Medicare, Medicaid, Veterans Administration, and other services. Looking at the Big Picture.

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Home Care Healthcare Hospice Medicare 52

Social Workers Speak

DECEMBER 8, 2022

There’s a huge accessibility problem to those who are not on Medicaid within the (community mental health) system, so we need to expand that to some other insurances as well,” Brann said. “We She said for next term, lawmakers hoping to tackle mental health issues should look at expanding services that already exist and additional funding.

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Mental Health Social Worker Advocacy Addiction 40

Relias

MARCH 13, 2023

For example, a new Hospital Price Transparency Rule came into effect in 2022. Unfortunately, many hospitals are struggling to implement the new standards promptly. Formerly, hospitals did not disclose the price of individual services to patients before they received care. Why are hospitals failing their audits?

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Hospitals Healthcare Medicare Medicaid 52

Social Workers Speak

NOVEMBER 10, 2022

So we’re in hospitals, we’re in schools, we’re doing policy, we’re in D.C. Terry Werner is executive director of NASW-SD: SD Voters Approve Medicaid Expansion. Since the Affordable Care Act became law, states have had the option to receive federal funds to expand their Medicaid programs. Public Service News.

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Domestic Violence Social Worker Medicaid Therapist 40

Social Workers Speak

JUNE 10, 2022

That’s added a complicated layer of grief and trauma onto the community, says Maria Maldonado Morales, a clinical social worker at Texas Children’s Hospital in Houston. ” Francis says Texas leaders made a political choice not to expand Medicaid under the Affordable Care Act, which leaves funding on the table.

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Mental Health Clinic Social Worker Medicaid 40

Social Work Blog

JANUARY 5, 2022

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). CSWs who work in settings that provide emergency care (such as hospital emergency departments) where the facility is in-network, but the CSW is OON, are not permitted to balance bill patients beyond in-network cost-sharing amounts.

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Relias

JULY 20, 2023

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. The new measures included the Birthing-Friendly hospital designation to help reduce maternal mortality and morbidity.

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Hospitals Medicaid Mental Health Medicare 40

Relias

OCTOBER 28, 2022

The Centers for Medicare and Medicaid Services (CMS) is ramping up survey scrutiny for hospice this year, training surveyors to focus on interdisciplinary group care planning and coordination of care as part of an emphasis on meeting four core Conditions of Participation. Increased scrutiny in hospices.

Hospice 52

Hospice Communication Patient Safety Clinic 52

NCCPR Child Welfare Blog

DECEMBER 27, 2023

Expand Medicaid: Less “neglect.” Two big new studies, one in JAMA Open and one in Academic Pediatrics examine who gets drug tested in hospitals and who doesn’t. And now, Maya Kowalski has filed a criminal complaint alleging that she was sexually assaulted while she was in the hospital. Increase SNAP benefits: Less “neglect.”

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Child Welfare Foster Care Welfare Adoption 110

Relias

OCTOBER 18, 2022

Whereas obstetricians and physicians can intervene when pregnancy complications occur, they typically provide care in hospital settings, creating limitations for patients who may not have access to that level of care. Medicaid covers 43% of all deliveries but only provides 60 days of postpartum coverage. For example, in the U.S.,

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Healthcare Medicaid University Interviewing 52

Relias

NOVEMBER 16, 2022

In April, the Centers for Medicare and Medicaid Services proposed a $320 million decrease in Medicare payments to skilled nursing facilities for fiscal year 2023. You can provide consistent care if you have accurate documentation of your patient’s care at the hospital. Manage wounds better.

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Medicare Medicaid Clinic Hospitals 10

Relias

JANUARY 8, 2024

The relationship between patient satisfaction scores, reimbursement, and health outcomes The Centers for Medicare and Medicaid Services’ (CMS) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring helps hospitals and governing bodies evaluate patient satisfaction through quantitative measurements.

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Healthcare Medicare Hospitals Clinic 52

Relias

MAY 1, 2022

Because the Centers for Medicare and Medicaid Services will not reimburse healthcare organizations for costs associated with hospital- or facility-acquired pressure injuries, appropriate assessment at the time of admission is vital. Those types of complications from hospital-acquired pressure injuries are linked to almost 60,000 U.S.

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Healthcare Hospitals Communication Medicare 98

Relias

OCTOBER 14, 2022

No hospitals or birth centers offering obstetric care. While still having too few hospitals/birth centers, an increase to over just 60 OB providers per 10,000 births would change a county’s designation from maternity care desert to low-access. This version includes additional information for hospitals and health systems.

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Telehealth Healthcare Hospitals Patient Safety 52

Relias

SEPTEMBER 22, 2023

Care coordinators work in numerous settings including roles in hospitals and outpatient care facilities. The care coordination trend goes by many names and has been seen across the continuum of care but has been most prevalent in the Medicaid world as part of the Health Home model.

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Healthcare Communication Medicaid Hospitals 52

Relias

JUNE 1, 2023

However, large technology investments aren’t always realistic in the near term when hospitals and health systems are struggling financially. The percentage is even higher in our heavier Medicaid markets,” said Hermosillo. Some planned revenue cycle software investments aren’t happening right now, but that’s not necessarily a bad thing.

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Healthcare Administration Medicaid Hospitals 52

Relias

JUNE 1, 2023

However, large technology investments aren’t always realistic in the near term when hospitals and health systems are struggling financially. The percentage is even higher in our heavier Medicaid markets,” said Hermosillo. Some planned revenue cycle software investments aren’t happening right now, but that’s not necessarily a bad thing.

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Healthcare Administration Medicaid Hospitals 52

Relias

APRIL 28, 2022

Throughout the cycle, the possibility of errors looms if your staff isn’t up to speed on the complex coding demands and rules set by hospitals, insurers, and the Centers for Medicare and Medicaid Services. How Clinical Documentation Integrity Affects Revenue. of claims between 2016 and the third quarter of 2020.

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Clinic Healthcare Medicare Medicaid 52

Relias

JULY 14, 2022

Hospitals and health systems have targeted their approaches to these issues and others to help reduce complications through adherence to evidence-based clinical protocols and reducing variation in care. Hospitals must also report on their responses to maternal health cases to reveal how equitable and effective they are.

Mental Health 52

Mental Health Patient Safety Healthcare Domestic Violence 52

Relias

JUNE 1, 2022

Undercoded Complex Hospital Admissions. In the long run, we need a good understanding of exactly what conditions and risk factors and other aspects are affecting hospitalizations and patient care outcomes,” explained Bowman. Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues.

Clinic 52

Clinic Justice and Corrections Healthcare Medicare 52

Relias

OCTOBER 10, 2022

Recently, the Centers for Medicare and Medicaid Services’ (CMS) Special Focus Facility Program report listed nursing homes that have not met the CMS’ health care or fire safety standards. Your reports should reflect common issues, like falls or hospital readmissions, and those that might spur complaints, like pressure injuries.

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