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Category: Healthcare Services

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Medicare Bad Debt Crossover Potential Revealed

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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2027 Medicare Geographic Reclassifications

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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Improving Patient Loyalty with Network Integrity

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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Network Integrity: Understanding the Basics

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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CMS Redistribution of Displaced Residents After Hospital Closures

CMS Redistribution of Displaced Residents After Hospital Closures

When a teaching hospital closes, there are several factors the hospital must consider. While there are many financial factors the hospital must figure out, including how to pay outstanding debts […]

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The Cost of Ignoring Managed Care Contracts: How Contract Audits Protect Hospital Revenue

The Cost of Ignoring Managed Care Contracts: How Contract Audits Protect Hospital Revenue

They sit in your computer’s hard drive, or perhaps even in an old file cabinet in the corner. They can create a lot of unnecessary work, force you to devote […]

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Mandatory Indiana 340B Program Reporting - First Filing Due by April 1st

Mandatory Indiana 340B Program Reporting: First Filing Due by April 1st

Effective July 1, 2025, the state has expanded oversight of the 340B Program, requiring all hospital covered entities with a service address in Indiana to submit detailed annual reports to […]

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