Attention 340B covered entities participating with Humana – Managed Care Medicare: Effective January 1, 2019, Humana requires that a “JG,” “TB,” or another relevant modifier be added to claims involving […]
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On December 28, 2018, a federal judge in Washington reversed the enormous cuts to Medicare OP Drug payments implemented by CMS which were effective January 1, 2018. U.S. District Judge Rudolph […]
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Compliance is often a misunderstood word that most healthcare professionals associate with spending more time and money. Typically, compliance is defined as a certification or confirmation that the doer of […]
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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 […]
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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 […]
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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 […]
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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 MoreMany covered entities were recently notified that CVS had acquired 340B software vendor Wellpartner, Inc. As the 340B Program has evolved over the last several years, it is common for […]
Read MoreIn the past, HRSA utilized its own staff to perform 340B audits. Beginning late last year, HRSA contracted with the Bizzell Group to conduct audits on its behalf. The Bizzell […]
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Network Integrity is the ability to keep patients within the organization-defined provider network and can optimize your hospitals financial and operational performance. In our last video, we covered the basics […]
As we head into the second half of the 2024 calendar year and the start of 2025, there are a few major dates that you need to be aware of […]
CARMEL, Ind. (July 19, 2024) – Blue & Co., LLC is proud to announce that Wayne Little has joined the Louisville office of Blue & Co. as a principal. Little […]
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