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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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Medicare Annual Wellness Visits Overcoming the Roadblocks to Success

Medicare Annual Wellness Visits: Overcoming the Roadblocks to Success

Medicare developed the Annual Wellness Visit (AWV) benefit to provide coverage in order to ensure that beneficiaries receive the most appropriate care by the most appropriate provider at the most […]

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Hospital 340B Recertification Reminder

2018 Hospital 340B Recertification Reminder

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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Low Volume Payment Update

Low-Volume Payment Update

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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2019 Hospital OPPS Proposed Rule

2019 Hospital OPPS Proposed Rule

On July 25, the CMS released proposed changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for 2019. Key proposals include: Increasing […]

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Kentucky Nursing Home Operators Challenge with Lawsuits is Ongoing

Kentucky Nursing Home Operators’ Challenge With Lawsuits Is Ongoing

Significant dollar amounts have been recently awarded to those who have filed lawsuits against providers.  Kentucky does not have a limit (cap) for the dollar amount for damages that one […]

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Documentation, coding, and billing for nursing home services

Documentation, Coding And Billing Requirements For Nursing Home Services

According to the most recent Centers for Disease Control statistics, 1.4 million Americans reside in nursing homes. Federal and state laws require that nursing home residents be under the care […]

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CMS re-releases timetable for FFY 2020

CMS Re-releases Timetable For FFY 2020 Wage Index Survey And The Preliminary Wage Index PUF

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 […]

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Physician Margin Recovery Improve Performance

Physician Margin Recovery Six Ways To Improve Performance

Many hospitals and health systems are looking for ways to create a sustainable financial model when it comes to their employed physicians.  In this brief article, we will review our […]

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How to identify missed opportunities

How To Identify Missed Opportunities

To give patients the best service possible, many physicians end up performing multiple services in one visit. This is great for the patient, but can lead to lost dollars and […]

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Looking forward: Blockchain and Healthcare

Looking Forward: Blockchain And Healthcare

Blockchain is beginning to garner more and more attention in the business media and being touted as the next transformative use of technology across many industries, including healthcare. The most […]

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Update from the AHIMA Advocacy Summit 2018

Update From The AHIMA Advocacy Summit 2018

The American Health Information Management Association (AHIMA) held its annual Advocacy Summit in Washington, DC on March 19-20, 2018. Members from all over the country came together to inspire leadership […]

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MIPS Reporting Deadlines Are Almost Here!

Don’t wait until the last minute to submit your data for the 2017 Merit-Based Incentive Payment System (MIPS) performance period. Now is the time to act. The key dates are: […]

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Skilled Nursing And Post-Acute Providers Have A Proposed New Payment System

The newly proposed Department of Health and Human Services (HHS) budget was recently announced for skilled and post-acute nursing providers. According to major trade groups, the changes for skilled nursing […]

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CMS Posts Draft Version Of The MDS 3.0 Data Specifications For Oct. 1, 2018

The Centers for Medicare and Medicaid Services posted a new version of the Minimum Data Set (MDS) 3.0 Data Specifications on January 25, 2018. The DRAFT version proposes significant changes […]

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The Future Today: Telehealth

The Future Today: Telehealth

Telehealth and its emergence as a critical healthcare component is becoming painfully evident. Patient demand is rising and according to Zion Market Research, an estimated $38 billion will have been […]

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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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