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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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Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

Relias

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

Relias

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. The data is then tabulated to create the HCAHPS score. The financial impact of HCAHPS scores can be significant.

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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.