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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HIPAA and Covered Entities

Anyone who works in the healthcare industry knows that their organization takes steps to protect patient health information under a series of guidelines known as HIPAA. There are several provisions […]

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Rural Health Clinic Payment

Rural Health Clinic Payment Reform

On December 27, 2020 the Consolidated Appropriations Act of 2021 introduced changes to the existing Rural Health Clinic payment structure. Changes to the Rural Health Clinic Payment Structure This legislation […]

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Revenue Improvement

Revenue Improvement Case Study: Outpatient Physical and Occupational Therapy

Blue & Co. reviewed publicly available information on a 120 bed, non-profit, acute-care hospital. The data suggested there was revenue improvement opportunity in their outpatient physical and occupational therapy departments. […]

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provider relief funds update

Provider Relief Funds Weekly Update: New FAQs

Provider Relief Funds Update Last week HHS updated their FAQ’s for the first time in almost a month. We did learn that the period to incur COVID-19 expenses and lost […]

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Patient Experience Competencies

Patient Experience Competencies to Drive Your Consumerism Strategy

The concept of consumerism in healthcare delivery is rooted and shaped in the world of retail services. To keep it simple, patient experience competencies should drive your consumerism strategy. However, […]

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Annual Wellness Visit

Annual Wellness Visit: Your Organization Should Care

Beginning 2011, Medicare began covering the Annual Wellness Visit (AWV) as a yearly appointment with a primary care provider (PCP) to create or update a personalized prevention plan at no […]

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American Rescue Plan Act

The American Rescue Plan Act of 2021

Weekly PRF Update There still have been no updates from HHS for reporting on PRF payments for the 2020 calendar year, but the passage of the American Rescue Plan (ARP) […]

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COVID-19 Expense

COVID-19 Expense Reporting Categories

The past few weeks have continued to be slow with very little new information on the Provider Relief Fund (PRF) reporting requirements. HHS released four new FAQs on 2/24/21 surrounding COVID-19 […]

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PRF Payments: What You’ll Be Able to Keep

PRF Weekly Update The past few weeks have been quiet with no new information from HHS regarding the Provider Relief Fund (PRF) and reporting requirements. The last FAQs were posted […]

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Medicare Administrative Contractors

Medicare Administrative Contractors: Audit Trend

How to Protect Dual Eligible Reimbursement from Audit Scrutiny In the past year, there has been a new audit trend emerging amongst MACs (Medicare Administrative Contractors). In some cases, this […]

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Numerous FAQs were updated and modified this week, but none were entirely new. They offered a few additions to the January 15, 2021 Post Payment Reporting Notice with two items of note:

New Provider Relief Fund FAQs and Talking Points for Your Organization

Another quiet week on the Provider Relief Fund updates from HHS. Numerous FAQs were updated and modified this week, but none were entirely new. They offered a few additions to […]

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Rural Health Clinic Reimbursement Changes

Rural Health Clinic Reimbursement Changes and Opportunities

On December 27, 2020, President Trump signed into law the Consolidated Appropriations Act (CAA), 2021. Included in this bill are comprehensive Rural Health Clinic reimbursement changes and provide possible new opportunities […]

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An Outpatient Rehabilitation Update: Practical Strategies for Success with New Regulations

On-Demand Webinar: An Outpatient Rehabilitation Update: Practical Strategies for Success with New Regulations

WellSky will be hosting a webinar covering An Outpatient Rehabilitation Update: Practical Strategies for Success with New Regulations on February 9th starting at 11:00 a.m. CST. In December 2020, the […]

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340B Reimbursement Update

On-Demand Webinar: The Year of Changes – PFS, FMV, CR, Stark, & AKS

You’re Invited: The Year of Changes – PFS, FMV, CR, Stark, & AKS Webinar There have been a plethora of changes to PFS, FMV, CR, Stark, & AKS over the […]

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post payment reporting

Post Payment Reporting: Focus on Registration

We’ve had a quiet week on HHS updates after the January 15th revisions to the post payment reporting. No new FAQs were published either. With inauguration day last Wednesday, we’re awaiting […]

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Webinars

The U.S. Capitol Building in Washington D.C., representing the source of new Medicare legislation.

Newly Proposed Medicare Rules Create Significant 340B Impacts

This summer, the Centers for Medicare and Medicaid Services (CMS) proposed two new rules that, if finalized, will have significant financial and operational impacts on 340B covered entities. In early […]

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Healthcare professional representing Indiana nonprofit hospitals and IDOH Annual Community Benefit Reports

IDOH Annual Community Benefit Reports: What Indiana Nonprofit Hospitals Need to Prepare

By: Kim Scifres and Luke Lamb Indiana law now requires nonprofit hospitals to develop a Community Benefits Plan report and file it annually with the Indiana Department of Health (IDOH). […]

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Assorted prescription pills and capsules in white, orange, and green | HRSA Reissues 340B Rebate Model Pilot

HRSA Reissues 340B Rebate Model Pilot

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) […]

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Low-Volume Hospital Payment Adjustment for FFY 2027

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 […]

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Annual Wellness Visits: Implementation Process

Providing annual wellness visits to patients covered by Medicare is a great way to grow your revenue year after year, whether you’re a practice of one physician or a large hospital […]

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Annual Wellness Visits: Understanding their Value

Performing Annual Wellness Visits (AWVs) provides a unique value that benefits your healthcare organization, providers and your patients. AWVs align with population health management, and can identify any needs for […]

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