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Thought Leadership

When it comes to thought leadership and staying informed, we’ve got you covered. See below for recent articles, webinars, and downloadable resources available.

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The Medicare Annual Wellness Visit - Getting to Benchmark is a Win-Win

The Medicare Annual Wellness Visit – Getting to Benchmark is a Win-Win

What if you began receiving information that described new benefits under your insurance plan that are “free to you.” For example, you receive notice that your insurance company wants you […]

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CMS Update July 2019

CMS Update July 16, 2019

On July 16, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a Proposed Rule to reform the Medicare and Medicaid long-term care requirements that would provide changes and delay […]

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Hospital 340B Recertification Scheduled to Begin on Aug. 19

Hospital 340B Recertification Scheduled to Begin on August 19

The Health Resources and Services Administration (HRSA) has set the annual recertification of eligibility for 340B drug discounts for hospitals to begin August 19, 2019, and end September 16, 2019. […]

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New Lease Accounting Standard Deferral

New Lease Accounting Standard Deferral

Update published on June 5, 2020: FASB issued Accounting Standards Update (ASU) 2020-05, Revenue from Contracts with Customers (ASC 606) and Leases (ASC 842) Effective Dates for Certain Entities, as part of […]

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Executive Order on Changes to Pricing Transparency

Executive Order on Changes to Pricing Transparency

On June 24, 2019, the President signed an executive order on Improving Price and Quality Transparency in Healthcare aimed to have insurance carriers and providers reveal the details of their […]

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Webinar: Optimal Opportunities in PDPM

Webinar Recording: Optimal Opportunities in PDPM

Ever-changing regulations have brought new challenges and opportunities to Skilled Nursing Facilities. In this webinar, we explore key changes that are occurring and how to transform challenges into opportunities. Areas […]

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New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

New Requirements for Indiana Skilled Nursing and Assisted Living Facilities

A new Indiana law effective July 1, 2019, requires additional written disclosures and care planning to prospective residents. The law requires that health facilities provide a written disclosure to each […]

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Contract Labor Impact on Wage Index

Contract Labor: Impact on Wage Index

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 have an effect on the […]

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Medicare Updates and Notices

Medicare Updates and Notices

Beginning July 1, 2019, Medicare will reject hospital outpatient claims if the service location address on the claim does not exactly match the address on record in the Provider-Enrollment, Chain and Ownership […]

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Proposed Changes to the Wage Index

Proposed Changes to the Wage Index

On April 23, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Proposed Rule for the Hospital Inpatient Prospective Payment System (IPPS) for Acute Care Hospitals. The proposed […]

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CMS Proposed Rule for Updates to PDPM, QRP, & VBP for FY 2020

CMS issued proposed rule on April 25, 2019, with updates to the Patient-Driven Payment Model (PDPM), Quality Reporting Program (QRP), and the Value Based Purchasing Program  (VBP) for fiscal year […]

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Swing Beds: Medicare Regulatory and Program Design Changes You Need to Know

Swing Beds: Medicare Regulatory and Program Changes You Need to Know

Swing Bed Groundwork must be in place. CAH and PPS swing bed programs need to understand the reason behind the initiation of swing beds and the reliance on understanding skilled […]

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As of October 1, 2019, CMS will Begin Enforcing Accounting Classification Rule for Crossover Bad Debts

CMS to Begin Enforcing Accounting Classification Rule for Crossover Bad Debts

On April 4, CMS announced that for cost reporting periods beginning on or after October 1, 2019, providers must comply with a “longstanding” rule to claim reimbursement for crossover bad […]

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Five Star and Nursing Home Compare Changes Clarified

Five Star and Nursing Home Compare Changes Clarified

Centers for Medicare & Medicaid Services (CMS) issued a memorandum, about changes to the Five-Star Rating system on Nursing Home Compare that will go into effect in April 2019. CMS […]

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Webinars

Internal Audit versus External Audit: The Key Differentiators

Most organizations are familiar with external audits that are performed by licensed auditors to ensure financial statements are accurate. Internal audit refer to systematic and independent examinations of an organization’s […]

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340B Recertification Window Now Open: Reminder for Hospitals

The Health Resources and Services Administration (HRSA) has set the annual recertification window for the 340B Drug Pricing Program for hospitals from August 12, 2024 to September 9, 2024. The […]

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Wage Index Timeline: Mid-Year Update and Looking into 2025

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 […]

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CMS 2024 Physician Fee Schedule Update

Every year the Centers for Medicare and Medicaid Services (CMS) publishes their annual Final Rule, which contains updates to the Physician Fee Schedule that impact what healthcare organizations are reimbursed […]

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Understanding Duplicate Payments and how to Prevent Them

Duplicate payments happen when a company pays the same invoice or for the same product or service more than once. According to the Association for Financial Professionals, duplicate payments average […]

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Swing Bed Utilization: Optimizing for Hospitals

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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