Social Work Blog

DECEMBER 16, 2021

CSWs may participate in the QPP by earning a payment adjustment for Medicare Part B covered professional services based on a performance evaluation across different categories that focus on the quality of care provided to a patient. Medicare has identified 15 measures that CSWs may use to report quality services.

Medicare 75

Medicare Social Worker Clinic Psychiatric 75

CAPC

JANUARY 18, 2023

Medicare estimates 13.2 million beneficiaries in one of three models.

Medicare 64

Medicare 64

CAPC

MARCH 14, 2022

Congress extends the existing Medicare waivers for 151 days after the PHE expires.

Medicare 52

Medicare Telehealth 52

Hospice Chaplaincy

SEPTEMBER 6, 2023

centers for Medicare & Medicaid Services (CMS) is […] This webinar will be on Monday September 25th at 10:00am Central Standard Time. The registration fee is only $45.The The most scrutinized area for hospices by the U.S.

Hospice 98

Hospice Medicaid Medicare 98

CAPC

SEPTEMBER 21, 2023

Home health and hospice agencies see promise in delivering high-value care.

Hospice 59

Hospice Medicare 59

CAPC

JUNE 28, 2022

Emphasizes health equity, symptom management, and psychosocial health, and encourages care partners.

Psychosocial 86

Psychosocial Medicare 86

Hospice Chaplaincy

SEPTEMBER 24, 2023

Medicare expenditures totaled $731 billion in 2018; a large portion of these expenditures were spent within […] There is no doubt that the American population is aging; life expectancy has increased and, in turn, more people are living longer and sicker. By the year 2030, 70 million Americans will reach the age of 65.

Medicare 52

Medicare 52

Social Work Blog

APRIL 22, 2022

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. NASW applauds these recommendations and thanks the study committee for its work.

Nursing Home 143

Nursing Home Social Worker Medicare Psychosocial 143

Relias

OCTOBER 25, 2021

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). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Medicare 97

Medicare Therapist Medicaid Clinic 97

CAPC

DECEMBER 29, 2022

Medicare cuts reduced and telehealth flexibilities remain.

Telehealth 116

Telehealth Medicare 116

CAPC

MARCH 9, 2023

Clarifies documentation and coding requirements.

Medicare 78

Medicare 78

Social Work Blog

FEBRUARY 10, 2022

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. Center for Medicare Advocacy. November 12 Guidance. Endnotes. [1]

Nursing Home 122

Nursing Home Medicare Social Worker Medicaid 122

Social Work Blog

SEPTEMBER 16, 2022

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.

Telehealth 74

Telehealth Medicaid Medicare Social Worker 74

CAPC

DECEMBER 8, 2022

Health Affairs Forefront article offers five recommendations for MA plans to redress pain inequities.

Medicare 98

Medicare 98

Relias

FEBRUARY 2, 2023

The 2023 Home Health Final Payment Rule , which the Centers for Medicare and Medicaid Services (CMS) released in October, increases Medicare payments for home health agencies by 0.7%, or $125 million, compared to 2022. While this seems like a treat, William A. The final rule includes a 4.1% net inflation rate update.

Medicare 52

Medicare Medicaid Hospice Telehealth 52

Social Work Blog

JANUARY 28, 2022

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. Center for Medicare Advocacy. November 12 Guidance. Endnotes. [1]

Nursing Home 93

Nursing Home Medicare Social Worker Medicaid 93

Social Work Blog

JUNE 1, 2022

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.

Telehealth 72

Telehealth LCSW Medicare Medicaid 72

CAPC

JULY 31, 2023

The GUIDE Model focuses support on family caregivers.

Medicaid 52

Medicaid Medicare Clinic 52

Relias

JANUARY 16, 2023

This estimate is based on a survey of physicians who primarily serve Medicare fee-for-service and Medicare Advantage patients and represents up to a fourfold increase in the cost of care delivered at home today. The report also found trends in the kinds of services Medicare beneficiaries receive via telehealth.

Healthcare 52

Healthcare Nursing Home Telehealth Medicare 52

CAPC

MAY 23, 2023

There is growing interest among Medicare Advantage plans to improve access to palliative care.

Medicare 52

Medicare 52

CAPC

MARCH 13, 2023

New Fact Sheet from the Centers for Medicare and Medicaid Services (CMS) Helps Providers Plan for the End of Public Health Emergency

Medicaid 52

Medicaid Medicare 52

Social Work Blog

DECEMBER 17, 2021

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.

Nursing Home 98

Nursing Home Medicaid Hospice Medicare 98

Relias

JANUARY 11, 2023

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.

Medicare 52

Medicare Medicaid Healthcare Hospitals 52

CAPC

JUNE 29, 2022

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

Hospice 52

Hospice Medicaid Medicare 52

Relias

MAY 6, 2022

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER provides each hospice organization’s paid Medicare claims for the last three fiscal years. Jurisdictional or Medicare Administrative Contractor (MAC). PEPPER Target Areas.

Hospice 98

Hospice Medicare Rehabilitation Healthcare 98

Relias

AUGUST 15, 2022

Centers for Medicare and Medicaid Services (CMS) proposes a decrease in Medicare reimbursement for home health agencies by 4.2% The act mandates a six-year monitoring period for the Patient-Driven Groupings Model ( PDGM), the home health payment model implemented for Medicare in 2020. Mandatory Telehealth Reporting.

Medicare 52

Medicare Telehealth Hospice Medicaid 52

CAPC

NOVEMBER 30, 2021

Commitment to the population with serious illness remains.

Medicare 69

Medicare 69

Relias

DECEMBER 8, 2022

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.

Medicare 52

Medicare Hospitals Psychiatric Hospice 52

Relias

NOVEMBER 4, 2021

Keeping an eye on your case mix is important with Medicare reimbursement shifting to value-based purchasing. The Centers for Medicare and Medicaid Services is planning to implement the Home Health Value-Based Purchasing (HHVBP) model nationwide in 2023. In 2020, PDGM changed reimbursement by focusing more on patient characteristics.

Medicare 52

Medicare Hospice Clinic Medicaid 52

Famcare

OCTOBER 5, 2022

Many are surprised to learn that the Hospice Medicare Benefit, a primary payer of hospice services, allows for hospice care in assisted living facilities (ALFs) and skilled nursing facilities (SNFs), the latter of which are commonly referred to as nursing homes.

Hospice 52

Hospice Social Worker Nursing Home Medicare 52

Social Work Blog

SEPTEMBER 8, 2022

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.

Mental Health 40

Mental Health Medicare Telehealth LCSW 40

Prosper Health Collective

JULY 31, 2023

This certification also allows them to serve individuals funded by schemes such as the National Disability Insurance Scheme (NDIS), Medicare, private health insurance agencies, and the Commonwealth Home Support Program (CHSP).

Disorder 96

Disorder Disability Medicare Communication 96

CAPC

APRIL 6, 2023

Concurrent hospice care has more flexibilities.

Hospice 52

Hospice Medicare 52

CAPC

JANUARY 11, 2022

Letter defines real opportunities to improve quality of care for Black patients with serious illness through CMMI payment models.

Medicaid 59

Medicaid Medicare 59

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. Repeated pressure exposure on the same area will result in the degradation of the skin’s integrity, literally opening the skin up to infection.

Medicare 98

Medicare Healthcare Hospitals Nursing Home 98

Social Work Blog

NOVEMBER 4, 2022

The Center for Medicare and Medicaid Services (CMS) is seeking feedback from clinical social workers and other providers about how they should provide estimates for costs of services for patients who use their insurance to pay for health and mental health services.

Social Worker 85

Social Worker Clinic Mental Health Medicaid 85

Relias

MARCH 1, 2023

One approach that hospital officials are using to manage the readmission risk and avoid Medicare penalties is establishing a preferred SNF network. She encouraged hospital providers to increase the amount to 80%-90%.

Hospitals 52

Hospitals Medicare Nursing Home Medicaid 52