Serious Illness Recommendations to the Center for Medicare and Medicaid Innovation

CAPC

CAPC and the National Coalition for Hospice and Palliative Care share actionable recommendations with CMMI staff and model participants. News Bites Policy

CAPC Shares Equity Findings and Recommendations with the Center for Medicare and Medicaid Innovation (CMMI)

CAPC

Letter defines real opportunities to improve quality of care for Black patients with serious illness through CMMI payment models. News Bites Payment and Program Financing

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The Center for Medicare and Medicaid Innovation Releases Its New Strategy

CAPC

New strategy notes palliative care across models. News Bites Payment and Program Financing

CMS Updates Guidance for Nursing Home Visitation During the COVID-19 Pandemic

Social Work Blog

Recognizing the physical and emotional toll of these visitation restrictions, the Centers for Medicare & Medicaid Services (CMS) recently updated its guidance to nursing homes regarding visitation during COVID-19. Posted December 17, 2021. Two adults are interacting with an older person.

National Report Addresses Nursing Home Quality & Promotes Value of Social Work

Social Work Blog

submission of comments to the Centers for Medicare & Medicaid Services in response to its Request for Information on Revising the Requirements for Long-Term Care Facilities to Establish Mandatory Minimum Staffing Levels.

Update: Nursing Home Visitation During the COVID-19 Pandemic

Social Work Blog

On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare- and Medicaid-certified long-term care (LTC) facilities (commonly known as nursing homes) regarding visitation during the COVID-19 pandemic.

Update: CMS Guidance for Nursing Home Visitation During the COVID-19 Pandemic

Social Work Blog

On November 12, 2021, the Centers for Medicare & Medicaid Services (CMS) released updated guidance to Medicare- and Medicaid-certified long-term care (LTC) facilities (commonly known as nursing homes) regarding visitation during the COVID-19 pandemic. Posted January 28, 2022.

CMS Creates Additional Place of Service Code for Telehealth

Social Work Blog

Following a recent update from the Centers 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. A blog post written by NASW Senior Practice Associate Denise Johnson, CMS Creates Additional Place of Service Code for Telehealth , clarifies what POS codes clinical social workers should use when providing telehealth services.

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. You may mail written comments to the following address: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1770-P, P.O.

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. June 2022. The purpose of this blog is to clarify what POS codes clinical social workers should use when providing telehealth services. POS codes are used on health insurance claim forms to indicate where patient services are rendered.

Social Workers: The Backbone of Reimagined 988 Emergency Crisis Services

Social Work Blog

W hen the National 988 Suicide Prevention Crisis Hotline goes into effect July 16, 2022, it will probably be the most significant public policy initiative impacting behavioral healthcare since the Medicaid expansion. By Mel Wilson, LCSW, MBA.

Biden’s commitment to better mental health for all

MQ Mental Health

“Let’s take on mental health. Especially among our children whose lives and education have been turned upside-down.”. At President Biden’s first State of the Union address to congress last night he addressed many important topics, including a commitment to better mental health for the nation.

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.

Home Health Agencies Face Financial Burden of Proposed CMS Payment Cut

Relias

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The U.S. next year. CMS estimates that this move would decrease reimbursements by about $810 million compared to 2022 projected reimbursements.

Social Workers: The Backbone of Reimagined 988 Emergency Crisis Services

Social Work Blog

When the National 988 Suicide Prevention Crisis Hotline goes into effect July 16, 2022, it will probably be the most significant public policy initiative impacting behavioral healthcare since the Medicaid expansion. By Mel Wilson.

How you can save babies whose mothers have substance use disorders

Stop Abuse Campaign

In traditional foster care, a trained stranger raises the baby with some monitoring from the local Child Protective Services and financial supports such as SNAP (food stamps), Medicaid, and a cash per diem. ← Incest the Unforgivable.

Remembering the Children

Beyond Advocacy

According to the Peterson Foundation, federal spending on children in 2020 amounted to seven percent of the federal budget compared to 33 percent for adults 18 years and older through Social Security, Medicare, and Medicaid.

Types of Therapy and Mental Health Providers

Stop Abuse Campaign

MHCs and CSWs often work in community mental health clinics, which are more likely to accept a wider variety of insurance, including Medicaid. . ← How to Choose a Therapist: Tips and Fits.

Does Anyone Care? Shocking Barriers Killing Our Mental Health

Stop Abuse Campaign

If your needs are less urgent, you may qualify for Medicaid to get mental health help. Medicaid can help you receive mental health care at a low cost if your income is below certain state limits. ← Thoughts on suicide prevention from a survivor.

Guest Post: Interview with Author of Breakdown: A Clinician’s Experience in a Broken System of Emergency Psychiatry

Bipolar Bandit

The states primarily funded these hospitals through taxes until the Medicaid program was created in 1965. What inspired you to write the book, Breakdown: A Clinician’s Experience in a Broken System of Emergency Psychiatry , that got published in October of 2018? .

Federal Rule to Prevent Surprise Health Care Billing

Social Work Blog

Medicare, Medicaid, TRICARE, Indian Health Service or the Veterans Affairs health system). Application to Clinical Social Work Services.

What is MIECHV? Overview and Importance of Maternal Home Visiting Programs

Stop Abuse Campaign

78 percent of participating adults and children relied on Medicaid or CHIP. . ← How you can save babies whose mothers have substance use disorders. “ A young mom met her home visitor when she was 16 and pregnant.

Nursing Home Compliance: Prepare for Focused Inspections

Relias

CMS will be tasked with holding nursing homes accountable for the care they provide their residents and terminating underperforming facilities from Medicare or Medicaid programs.

Invest in Wound Care Education To Avoid Legal Risks

Relias

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.

Home Health CoPs Update: New Opportunities for OTs

Relias

There’s a new opportunity for occupational therapists practicing in home health settings. OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs).

New Frequently Asked Questions on the No Surprises Act: Good Faith Estimates

Social Work Blog

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.

Be Prepared for Dobbs Decision Impact on Maternal Mortality

Relias

The Commonwealth Fund reported that organizations are already gearing up to request additional federal funding for supplemental coverage for Medicaid patients to help alleviate the impact on low-income patients, people of color, and other underserved populations and help them get the care they need.

Home Health Agencies Face Growing Competition as Value-Based Purchasing Expands Nationally

Relias

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.

Clinical Documentation Integrity: Why It’s Crucial for Improving Revenue Cycle Management

Relias

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.

Highlights of CMS 2023 Proposed Physician Fee Schedule

Social Work Blog

On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released its proposed rule of the Physician Fee Schedule (PFS) that announced proposed policy and practice changes for Medicare Part B payments beginning January 1, 2023. The proposed changes may impact social workers and other Medicare providers in various settings.

When Risks Collide: Maternal Mortality and Mental Health

Relias

If Medicaid, the nation’s largest insurer, and other commercial insurance payers expanded benefits to include mental health and mom/baby wellness home checks for new mothers, imagine the impact this would have on improving outcomes for new mothers that are most vulnerable,” Sparkman observed.

Innovations in Behavioral Healthcare: A Digital Path to Resilience

Relias

Several factors drove these concerns, such as licensing, Medicare/Medicaid?reimbursement, Medicaid beneficiaries use telehealth services. SoonerCare Medicaid program.

(CY) 2022 Medicare Physician Fee Schedule Proposed Rule: Key Provisions Impacting Clinical Social Workers

Social Work Blog

The Centers for Medicare and Medicaid Services (CMS) proposed CY 2022 Physician Fee Schedule (PFS) issued on July 16 includes a variety of provisions that are relevant to clinical social workers (CSWs) who are participating providers in Medicare.

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

Social Work Blog

The Centers for Medicare & Medicaid Services (CMS) recommends that beneficiaries review coverage options each year because the needs of each beneficiary and the coverage offered by each plan often change. Free screening for MSP eligibility is available through SHIP sites and state Medicaid offices. Medicare beneficiaries who are enrolled in an MSP, Medicaid, or Supplemental Security Income are automatically screened for LIS eligibility. Posted November 12, 2021.

Medicare Physician Fee Schedule Final Rule for CY 2022

Social Work Blog

On November 2, 2021, the Centers for Medicare and Medicaid Services (CMS) released the CY 2022 Medicare Physician Fee Schedule (PFS) final rule. Implications for Clinical Social Workers. December 2021.

News Items – September 28, 2022

Social Workers Speak

Her 20 or so family clients reside in the surrounding rural areas and most are Medicaid participants. ‘One Foot in the Present, One Foot in the Past:’ Understanding E.M.D.R. The New York Times. With E.M.D.R., the added component of bilateral stimulation theoretically anchors the patient in the current moment as they’re engaging with a trauma. “We We use the phrase: one foot in the present, and one foot in the past,” said Marianne Silva, a clinical social worker and E.M.D.R.

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

Relias

Another case alleged that a health system defrauded the Centers for Medicare and Medicaid Services of $1 billion because doctors were pressured to add diagnosis codes to medical records that were nonexistent or unrelated to the visit. Coding is high value — and in high demand.

Home Health Referrals: Grow Your Network

Relias

For Medicare claims, you already track care quality and report it to the Centers for Medicare and Medicaid Services (CMS). It’s clear that home-based care is experiencing a growth phase. That’s certainly no secret to agency executives looking to take advantage of the boom.

What I Learned About Navigating the Mental Health System

Beautiful Voyager

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. Photo by ali elliott. In my long and unavoidable experience with mental illnesses, I at first felt hopeful.

How to choose a good hospice (whether you’re looking for a job or signing up a relative)

Hospice Social Work

When I heard from a nursing home social worker that a recently admitted patient neither qualified for Medicaid nor received enough income to pay privately, I called the patient care manager for our team in that area and described the situation.