The basic core philosophy of healthcare reform is to reduce costs and improve quality. The emergence of Accountable Care Organizations (ACOs) and Bundled Payment regulations are two relevant examples of […]
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Consolidated Health Center & FQHC Look-a-Likes The 2020 Grantee recertification period for Consolidated Health Centers, Federal Qualified Health Center Look-Alikes, Ryan White, Comprehensive Hemophilia Treatment Centers, Native Hawaiian, Black Lung […]
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With the final 501(r) regulations released on December 29, 2014, one would think that every tax-exempt hospital should be fully compliant with these regulations by now. However, the IRS continues […]
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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) […]
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Since 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 […]
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On September 29, 2019, CMS finalized a new rule focusing on the seamless exchange of patient information between health care settings by revising the discharge planning requirements that Hospitals and Home Health […]
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The Omnibus Burden Reduction (Conditions of Participation) Final Rule (CMS-3346-F) was published on September 26, 2019. This rule finalizes the following provisions that were in the proposed rule changes. The […]
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The Centers for Medicare and Medicaid Services (CMS) recently released Med Learn Matters SE19015 that reminds hospitals of the new requirement to provide supporting documentation on filed cost reports. The […]
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This calculator will compute the wage index adjusted individual daily rate and the cumulative total based upon paid SNF PDPM I/P Part A Medicare paid days for fiscal year 2020. […]
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In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility […]
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Many Continuing Care Retirement Communities (CCRCs) and Life Plan Communities (LPCs) are facing complex and dynamic challenges. In addition to the significant pressure of supporting an aging baby boomer population, […]
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 […]
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 […]
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