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Signs of Change in Medicare Advantage

CAPC

Hospitals are dropping contracts with private Medicare plans.

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Partnering With Hospitals Can Boost SNF Referrals

Relias

As an SNF operator, one strategy to rebuild occupancy and increase revenues is to partner with a local hospital and become part of its SNF-preferred network. Many hospitals are establishing preferred SNF networks to refer their patients for continued care. She encouraged hospital providers to increase the amount to 80%-90%.

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CMS Creates Additional Place of Service Code for Telehealth

Social Work Blog

Following a recent update from the Center for Medicare, and Medicaid Services (CMS), NASW has received multiple inquiries regarding telehealth place of service codes (POS) for Medicare, Medicaid, and private health insurance companies.

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

Relias

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

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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. But as a major difference in how most providers have operated, change has come slowly.

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Hospice Social Workers

Famcare

The word hospice derives from the Latin, hospitum , meaning hospitality or place of rest and protection for the ill and weary. When people think about hospice care, they usually think of services being delivered in a patient's home or a freestanding hospice facility.

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