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Denied Claims due to Billing Codes

A new issue is affecting some inpatient hospital and Skilled Nursing Facility (SNF) claims when an interrupted stay is billed at the end of the month. The system incorrectly assigns […]

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2020 Hospital 340B Recertification Reminder

The Health Resources and Services Administration has set the annual recertification of eligibility for 340B drug discounts for hospitals to begin August 17, 2020 and end September 14, 2020. Mandatory […]

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Nursing working with seniors at a SNF | CMS Releases SNF PPS Proposed Rule for FY 2026

CMS Releases SNF PPS Proposed Rule for Fiscal Year 2026

On April 11, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the […]

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The Importance of Benchmarking in Retirement Communities | Service dog with seniors living in a retirement community

The Importance of Benchmarking for Retirement Communities

Many Continuing Care Retirement Communities (CCRCs), also known as Life Plan Communities (LPCs), are facing complex and dynamic challenges. In addition to the significant pressure of supporting an aging baby […]

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The Benefits of Entity-Owned Pharmacies

The Benefits of Entity-Owned Pharmacies

Entity-owned pharmacies are an important consideration for hospitals, community health centers, and other 340B grantee types. As retail pharmacy closures rise and the complexities of the 340B Drug Discount Program […]

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