As you may have heard, the CMS 2019 Relative Value Unit (RVU) weighting for E&M visits is proposed to effectively shift to a two-level system, with level 1 visits receiving […]
Read More
CMS continues to refine the uncompensated care calculation. Three factors are utilized to calculate uncompensated care reimbursement for IPPS hospitals. Factor 3 is developed by compiling the cost of uncompensated […]
Read More
Medicare developed the Annual Wellness Visit (AWV) benefit to provide coverage in order to ensure that beneficiaries receive the most appropriate care by the most appropriate provider at the most […]
Read More
The Health Resources and Services Administration has set the annual recertification of eligibility for 340B drug discounts for hospitals to begin August 15, 2018, and ends September 12, 2018. Mandatory […]
Read More
The Centers for Medicare and Medicaid Services (CMS) recently published the Final 2019 Inpatient Prospective Payment System (IPPS) Rule that modified the definition of a low-volume hospital. While the mileage […]
Read More
On July 25, the CMS released proposed changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for 2019. Key proposals include: Increasing […]
Read More
Significant dollar amounts have been recently awarded to those who have filed lawsuits against providers. Kentucky does not have a limit (cap) for the dollar amount for damages that one […]
Read More
According to the most recent Centers for Disease Control statistics, 1.4 million Americans reside in nursing homes. Federal and state laws require that nursing home residents be under the care […]
Read More
On June 8, 2018, the Centers for Medicare and Medicaid Services (CMS) re-released the timetable for Federal Fiscal Year (FFY) 2020 Wage Index Survey and the preliminary Wage Index Public […]
Read More
Many hospitals and health systems are looking for ways to create a sustainable financial model when it comes to their employed physicians. In this brief article, we will review our […]
Read More
After over six months of legal uncertainty, HRSA has issued a revised rebate model pilot impacting Medicare Fair Price drugs. On July 31st, the Health Resources & Service Administration (HRSA) […]
By Jonah Gjertson, Senior Consultant at Blue & Co. Starting Point The parts and service department (“Fixed Department”) is the profit engine of most automotive dealerships, often generating 40-50 percent […]
With FFY 2027 approaching, it’s time to apply or request an extension for your hospital’s low-volume adjustment. This is an additional payment for rural subsection (d) hospitals to help offset […]
Copyright © 2026, Blue & Co., LLC.
All Rights Reserved.
