Are you maximizing your reimbursement potential with Medicare Advantage (MA) plans? Many healthcare providers are unaware that they can file bad debt listings for additional reimbursement. The key lies in […]
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To appeal or not to appeal: that is the question. Medicare cost report appeals can be extremely profitable, but which issues are worth the time and effort to appeal? Without […]
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We have started to see a number of Medicare Cost Report settlements come through over the past month related to the CMS Ruling 1498-R3. The issue is related to the […]
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Earlier this month, the US District Court for the Northern District of Alabama issued a preliminary approval of the proposed settlement of the class action lawsuit against Blue Cross and […]
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On November 1, the Centers for Medicare and Medicaid Services (CMS) released the CY 2025 Medicare Physician Fee Schedule Final Rule. This final ruling includes several significant changes for Rural […]
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The Department of Health and Human Services (HHS) released the Nondiscrimination in Health Programs and Activities final ruling that speaks on Section 1557 of the Affordable Care Act. This ruling […]
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The Centers for Medicare & Medicaid Services (CMS) has released their 2025 IPPS Final Rule, with changes going into effect on October 1, 2024. There is a new opportunity related […]
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A well-managed swing bed program is essential to a critical access hospital. This program can improve patient outcomes and provide additional reimbursement opportunities creating a “win-win” for the patient and […]
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This is your 340B recertification reminder for 2024. The 2024 Grantee recertification period for Consolidated Health Centers, Federal Qualified Health Center Look-Alikes, Ryan White, Comprehensive Hemophilia Treatment Centers, Native Hawaiian, […]
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Managed Long Term Services and Supports (mLTSS) refers to the delivery of long-term services and supports through Medicaid managed care programs. mLTSS’s strategy is to expand home and community-based services, […]
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The deadline for hospitals to submit the Occupational Mix Survey is June 30, 2026. The Centers for Medicare and Medicaid Services (CMS) collects this data every three years on the […]
Outsourcing is a common practice in all areas of business, including the healthcare sector. Although this is a major expense for a hospital, it can influence the wage index factor […]
The Centers for Medicare & Medicaid Services (CMS) Low Volume Payment Adjustment attestation period has been extended. Congress recently passed a short-term temporary extension, extending the deadline to January 30, […]
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