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Category: Healthcare Services

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Physician Coding Changes to Address in 2021

This is the year for many changes in healthcare and the physician coding changes that were announced in March 2021 are just one piece of that. Evaluation and Management services (E/M) have not seen a change in more than 25 years; however, this year has significant changes for the office and outpatient locations. These physician […]

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RHC COVID-19 Testing and Mitigation Funds Disbursement

The American Rescue Plan Act of 2021 authorized $460 million of additional funding through the U.S. Department of Health and Human Services (HHS) to more than 4,600 eligible RHCs for the Rural Health Clinic COVID-19 Testing and Mitigation Program. This rescue fund will allow RHCs to expand testing efforts and help mitigate the spread of COVID […]

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What Triggers an Audit and What to Do Next

Every day your organization goes through different transactions that could require your financial statements to be audited by an independent certified public accountant (CPA) firm. So, what triggers an audit? First let’s understand what an audit actually is. What is an Audit? An audit is an official inspection of an individual’s or organization’s accounts and […]

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HRSA Rural Health Clinic Vaccine Confidence Grant Now Available

On May 26, 2021, the Health Resources and Services Administration’s (HRSA) Federal Office of Rural Health Policy (FORHP) posted the Rural Health Clinic Vaccine Confidence Grant. HRSA will award all eligible RHCs who apply for grant funding. You must have a completed and acceptable application submitted. Grant awards are expected to be around $50,000 per […]

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340B Program HRSA Response to Pharmaceutical Manufacturers

After months of pharmaceutical manufacturers placing restrictions on the 340B Program to both contract pharmacies and covered entities, HRSA sent letters to six pharmaceutical manufacturers stating they violated the 340B Statute. The HRSA Acting Administrator declared these pharmaceutical manufacturers violated the 340B statue by placing restrictions on the 340B Program pricing at both contract pharmacy […]

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New COVID-19 Initiatives Impacting RHCs

On Tuesday May 4, 2021, President Biden announced three new COVID-19 initiatives impacting RHCs. Nearly $1 billion of funding is being made available as part of the American Rescue Plan (ARP) to support rural COVID-19 response efforts and increase COVID-19 vaccine availability in rural communities. The President’s announcement included the following initiatives: Shipping New Allocations […]

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Charity Reimbursement: Protecting it from Audit Scrutiny

There is a new audit trend coming down the pipeline that could impact your charity reimbursement for Medicare bad debt. In the past there was no enforcement of statements being sent to a charity patient before they were deemed indigent. Until a patient has been approved for charity, they are still deemed non-indigent. Auditors are […]

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HIPAA and Covered Entities

Anyone who works in the healthcare industry knows that their organization takes steps to protect patient health information under a series of guidelines known as HIPAA. There are several provisions to HIPAA that require organizations to use Federal guidelines to ensure digital health information is secure. Those provisions include: Privacy Rule Security Rule Enforcement Rule […]

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Rural Health Clinic Payment Reform

On December 27, 2020 the Consolidated Appropriations Act of 2021 introduced changes to the existing Rural Health Clinic payment structure. Changes to the Rural Health Clinic Payment Structure This legislation introduced the following reforms: Phase-in steady increases in the RHC statutory cap over an eight year period Subjects all new RHCs to the new Medicare […]

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On-Demand Webinar: CMS Final Ruling Webinar

On Thursday, December 17, Dustin Brown and John Wortley presented on the CMS Final Ruling and how it may impact your bottom line. About the Event CMS has recently issued their final changes to the 2021 Physician Fee Schedule. These changes are expected to have a significant impact on RVUs, wRVUs, and overall reimbursement. Additionally, […]

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2023 E/M Coding Changes You Need to Know from the Physician Fee Schedule Final Ruling

New rules for reporting evaluation and management (E/M) services in most places of service took effect January 1, 2023. The coding and documentation revisions, adopted by the American Medical Association’s CPT Editorial Panel and approved by the Centers for Medicare and Medicaid Services (CMS), substantially simplify code selection and documentation. Effective January 1st, E/M services […]

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Consolidated Appropriations Act of 2023 Changes Impacting Rural Health Clinics

The Consolidated Appropriations Act of 2023, also known as the “Omnibus” package, was signed into law by President Biden on December 29, 2022. Rural Health Clinics (RHCs) need to be aware of some of the changes that will impact them including new grant opportunities and behavioral health provisions. Opportunities for Rural Health Clinics from the […]

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The Importance of Personal vs. Business Use of Auto

By Pam Swartout, Manager and Jacoby Shade, Staff Accountant at Blue & Co. Many business owners provide a company vehicle to their employees as part of their employment. This is a company benefit that has tax implications and is extremely important for both the employer and employee to understand these implications. Employers can deduct only […]

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