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 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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Medicare recently published updated bad debt regulations and the time is NOW to safeguard your Hospital’s reimbursement. Are you following proper guidelines to ensure you can write-off your Medicare/Medicaid crossover accounts? The first step to ensure you are following proper guidelines is to review the “Must-Bill policy” for reimbursement of crossover bad debts below. The easiest […]
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For several years, the healthcare community has struggled to find balance between reducing administrative burden, accurately recognizing and recording services provided, and upholding and providing the highest quality care possible, all while the Centers for Medicare & Medicaid Services (CMS) operates with a budget neutral mandate. If finalized as is, the Proposed Rule1 (CMS-1734-P) will […]
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Outpatient physical therapy programs are often overlooked in the hospital. However, there are several opportunities to increase access to care for patients and increase revenue for the hospital in outpatient therapy. Believe it or not, there are still opportunities for charge capture in this area, along with some basic “blocking and tackling” operational issues. New […]
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Since the release of Centers for Medicare & Medicaid (CMS) final ruling, there has been a lot of confusion regarding the correct way to write off a bad debt crossover account. For years it has been acceptable to write off a Medicare bad debt crossover account to a contractual allowance. But then in 2018 an […]
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In these unprecedented times, protecting your Medicare bad debt reimbursement is more important than ever. With decreases in patient volume due to COVID-19, hospitals will certainly feel the effect on their wallet. Coupled with the release of Centers for Medicare and Medicaid Services’ (CMS) final rule, NOW is the time to safeguard your Hospital’s reimbursement. […]
Read MoreJoin John Britt, Senior Manager and outpatient rehabilitation consultant at Blue & Co., LLC as he discusses with WellSky why outpatient physical therapy not only makes good business sense but provides significant value to your patients. During this presentation, you will learn: How to improve patient access to the full plan of care Why charge […]
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Join us Thursday, October 1st from Noon to 1 PM Eastern. Join Michael Alessandrini, Rebecca Meredith, and Nicole Cameron on October 1st from Noon to 1 PM Eastern as they discuss the 2021 IPPS Final Ruling with Kentucky HFMA. They will review the Final 2021 Inpatient Prospective Payment System rule and look at changes in […]
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On September 19th HHS released updated reporting guidelines for CARES act funding from General and Targeted distributions. Included in this announcement is a shift in the definition and calculation of “Lost Revenues”. Previous announcements and attestations indicated Provider Relief Funds (PRF) could report their use by either lost revenues or costs incurred to treat, prepare, […]
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By: Angela Crawford, CPA, Senior Manager The recently enacted Senate Enrolled Act (SEA) 382 (2022) makes significant changes in the way not-for-profit organizations purchase and sell items exempt from sales tax. Sales tax information Bulletin 10 has been revised to reflect these changes. While sales tax-specific changes are detailed within the bulletin, here are the […]
Blue & Co. has performed many Emergency Department Leveling Reviews for hospitals. The two most utilized leveling criteria are “points-based” or “intervention-based.” In either case, each hospital must determine which facility resources (or attributes) to include within its criteria, and how these resources crosswalk into ED visit levels (99281-99285). This can create significant reimbursement differences […]
By: Tom Skoog, Cybersecurity & Data Management Practice Leader Cybersecurity for the construction industry is a growing challenge. The industry is moving towards digital connectivity, not only across the supply chain, but also ‘on site’ as more metrics related to performance, progress, and health & safety are monitored in ‘real time’. This increase in connectivity […]
