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Calendar Year (CY) 2023 Proposed Rule for Medicare Physician Fee Schedule

Social Work Blog

On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the proposed rule of the Physician Fee Schedule that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2023. Box 8016, Baltimore, MD 21244-8016. By express or overnight mail.

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Behind the Poor Pay and High Turnover Rates of Direct Support Professionals

Relias

The State of Medicaid Programs and the Need for Grassroots Advocacy. Commercial insurance and private pay revenue sources rarely cover services for people with IDD, leaving Medicaid as essentially the sole payer for these services. The Future of DSPs.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Department of Health and Human Services’ Office of Inspector General are cracking down on improper coding. The Department of Justice and the U.S. One health system settled a False Claims Act case for $90 million for knowingly submitting inaccurate diagnosis codes.

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Planning for Medicaid Unwinding in 2023

Social Work Blog

Department of Health and Human Services first declared a 90-day public health emergency (PHE). When the COVID-19 PHE ends, which is expected in 2023, state agencies will begin the “unwinding” of continuous Medicaid and Children’s Health Insurance Program (CHIP) by going through the redetermination process for all enrollees.

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Medicare Open Enrollment: What’s New for 2022 and How You Can Help Your Clients

Social Work Blog

Each fall, Medicare beneficiaries can review, compare, and change their coverage options during the Medicare Open Enrollment Period (OEP). The Medicare OEP is distinct from Health Insurance Marketplace Open Enrollment , which occurs November 1 through December 15.). (The Posted November 12, 2021. Language Access.

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Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Providing a GFE to patients is not new to CSWs who, as part of best clinical practice, routinely discuss services and fees before or during the initial interview with new patients. Federal Rule Background and Definitions.

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Innovations in Behavioral Healthcare: A Digital Path to Resilience

Relias

The onset of the COVID-19 pandemic drastically changed the way behavioral health and other human services organizations conduct their operations. For behavioral health and other human services, this often means using technology to find new and better ways to help?persons?served. services to skyrocket.?According