Does your organization provide healthcare services in Ohio, Texas, Arizona, New Jersey, Oklahoma, or Washington? If yes, understanding CMS’s voluntary WISeR Model is important. It applies to providers in these […]
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In December 2025, Governor Mike DeWine announced that the state of Ohio will receive more than $200 million from the Centers for Medicare and Medicaid Services (CMS) and the U.S. […]
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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 […]
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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 […]
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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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In our last thought leadership, we gave an update on new pricing transparency rules. Within the same rule, CMS requires a new cost report worksheet that utilizes the new pricing […]
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What to Expect from CMS in 2026 As we close out 2025 after a year of regulatory challenges, Skilled Nursing Facilities (SNFs) enter 2026 amid evolving CMS rules, heightened compliance […]
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Critical Access Hospital (CAH) Method II Claim Updates Effective January 1, 2026, Critical Access Hospital (CAH) Method II claims will be denied if the Attending & Rendering providers have not […]
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On November 21, 2025, CMS finalized updates to Hospital Price Transparency regulations in the CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule. These […]
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Hospital outpatient physical and occupational therapy is one of the few levels of care that has not been forced into a capitated environment. For most hospitals, this service is paid […]
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Tax-exempt hospitals continue to face increasing scrutiny from lawmakers, regulators, researchers, and the public regarding how they demonstrate the value they provide to their communities. Recent federal legislative activity and […]
Written by Christopher Hemans, CHCRS, Manager Every year, billions of dollars hinge on a little-known process known as Medicare geo-reclassification. For hospitals, the difference between thriving and struggling can come […]
Beginning with cost reporting periods ending on or after January 1, 2026, many acute care hospitals will face a new Medicare cost reporting requirement: Worksheet S-12. For the first time, […]
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