The Centers for Medicare & Medicaid Services (CMS) will be initiating new Minimum Data Set (MDS) audits through iQIES. Understanding the Skilled Nursing Facility (SNF) Validation Program and its requirements […]
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On July 4, 2025, President Donald Trump signed into law the “One Big Beautiful Bill” (“OBBB”), a sweeping budget reconciliation package that includes more than $1 trillion in estimated federal […]
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Beginning June 7, 2024, Indiana Medicaid launched a transformative new program: PathWays, a managed long-term service and support (MLTSS) initiative designed to streamline care for aging Hoosiers. This program partners […]
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The Health Resources and Services Administration (HRSA) has set the annual recertification period for the 340B Drug Pricing Program for hospitals to begin on August 11, 2025, and end on […]
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In the ever-evolving healthcare landscape, prioritizing initiatives to improve margins is essential for maintaining financial stability. In our previous video and article, we discussed how a healthcare system on the […]
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Hospitals that submit wage index data have the opportunity to request geographic reclassification. For facilities that qualify, they can experience significant increases in both base Diagnosis-Related Group (“DRG”) and Outpatient […]
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Network Integrity is the ability to keep patients within the organization-defined provider network. In our last video and article, we discussed a case study and how the health system used Network […]
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Network Integrity is the ability to keep patients within the organization-defined provider network and can optimize your hospital’s financial and operational performance. Blue & Co.’s Shawn Williams, an Audit Director […]
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In the ever-evolving healthcare landscape, prioritizing initiatives to improve margins is crucial to maintain financial stability. As inflationary pressures continue to impact labor, purchased services, and supplies, it is imperative […]
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As we head into the second half of the 2025 calendar year, there are a few major dates that you need to be aware of for wage index purposes. These […]
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Since October of 2019, the Patient Driven Payment Model, or PDPM, has been the payment system for Medicare Part A in Skilled Nursing Facilities. Prior to this, payment was made […]
By Gavin Fox, CPA, CCIFP, Director of Construction Services at Blue & Co. Effective October 3, 2025, the U.S. Department of Transportation (DOT) released an Interim Final Rule (IFR) […]
The Importance of Communication with the Team Medicaid is changing the way it pays for care in most states, but that doesn’t preclude us from treating patients and “providing care […]
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