2020 CY OPPS Final Rule

Reductions to 340B Payments and Certain Provider-Based Departments and a Delay on Pricing Transparency Rules This past weekend, CMS released the final rule for CY 2020 Outpatient Prospective System (OPPS) […]
Read MoreReductions to 340B Payments and Certain Provider-Based Departments and a Delay on Pricing Transparency Rules This past weekend, CMS released the final rule for CY 2020 Outpatient Prospective System (OPPS) […]
Read MoreSince HIPAA was originally signed into law in 1996, it has seen five major changes, each intended to make patient information “more safe.” Recently, some clients have been asking us […]
Read MoreOn July 30, 2019, CMS announced the Data at the Point of Care (DPC) pilot program. DPC will give clinicians that are participating in the pilot program access to claims […]
Read MoreWhat if you began receiving information that described new benefits under your insurance plan that are “free to you.” For example, you receive notice that your insurance company wants you […]
Read MoreWith the roll-out of value-based care programs that focus on patient outcomes, health systems and health plans are using telehealth in a proactive way, reaching out to patients facing transitions […]
Read MoreOutsourcing is a common practice in all areas of business, including the healthcare sector. Although this is a major expense for a hospital, it can have an effect on the […]
Read MoreBeginning July 1, 2019, Medicare will reject hospital outpatient claims if the service location address on the claim does not exactly match the address on record in the Provider-Enrollment, Chain and Ownership […]
Read MoreOn April 23, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Proposed Rule for the Hospital Inpatient Prospective Payment System (IPPS) for Acute Care Hospitals. The proposed […]
Read MoreOn April 4, CMS announced that for cost reporting periods beginning on or after October 1, 2019, providers must comply with a “longstanding” rule to claim reimbursement for crossover bad […]
Read MoreCenters for Medicare & Medicaid Services (CMS) issued a memorandum, about changes to the Five-Star Rating system on Nursing Home Compare that will go into effect in April 2019. CMS […]
Read MoreEntity-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 […]
By Joel Barnett, Technical Account Executive at Blue Pioneer Consulting and Holly Fields, CPA, Senior Manager at Blue & Co. Not-for-profit organizations handle sensitive data every day, which make them […]
By Doug Sandor, Senior Accountant and Chad Nieter, CPA, Senior Manager at Blue & Co. Cryptocurrency, a digital asset powered by cryptography for enhanced security, has revolutionized modern finance and […]