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340B Recertification Reminder

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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Top 5 501(r) Misses to Avoid

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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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) […]

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Blue & Co. PDPM HIPPS Rate Calculator

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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CMS Updates Posted on August 30, 2019

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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Original 340B Rebate Model Withdrawn, HRSA Seeks Public Input on Future Rebate Models

Original 340B Rebate Model Withdrawn, HRSA Seeks Public Input on Future Rebate Models

After nearly two months of uncertainty and legal challenges to the initial 340B rebate model pilot program, HRSA is now seeking public input on a future pilot program through March […]

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PAMA Clinical Lab Reporting Delayed Again: What Hospitals Should Know

PAMA Clinical Lab Reporting Delayed Again: What Hospitals Should Know

Congress has again postponed the next PAMA clinical lab reporting period. Hospitals and outreach labs should still prepare. The new guidelines moved the reporting window to May 1, 2026, through […]

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New Federal Requirements Will Reshape How Hospitals Manage Provider-Based Off Campus Outpatient Departments

New Federal Requirements Will Reshape How Hospitals Manage Provider-Based Off-Campus Outpatient Departments

A significant policy shift is about to reshape how hospitals structure, track, and bill for their off-campus Provider-Based Hospital Outpatient Departments (PB HOPDs). With the approval of Section 6225 of […]

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