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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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Recommendations for the CMS 2019 RVU Proposal for E&M

Recommendations for the CMS 2019 RVU Proposal for E&M

As you may have heard, the CMS 2019 Relative Value Unit (RVU) weighting for E&M visits is proposed to effectively shift to a two-level system, with level 1 visits receiving […]

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Is now the time to sell? Consider the 4 P's of a successful transition process

Is now the time to sell?

Consider the 4 P’s of a Successful Transition Process There’s a well-known saying, “A rising tide lifts all boats,” suggesting as improvements in the general economy occur so will the […]

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Uncompensated Care S-10 Audits are Coming

Uncompensated Care S-10 Audits are Coming

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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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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Webinars

Improving Patient Loyalty with Network Integrity | Part Two of a Four Part Series | Text overlay on a photo of a hospital.

Improving Patient Loyalty with Network Integrity

Network Integrity is the ability to keep patients within the organization-defined provider network and can optimize your hospital’s financial and operational performance. Blue & Co.’s Shawn Williams, an Audit Director […]

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Network Integrity: Understanding the Basics | Part One of a Four Part Series | Text overlay on a photo of a hospital | An Introduction to Network Integrity

Network Integrity: Understanding the Basics

In the ever-evolving healthcare landscape, prioritizing initiatives to improve margins is crucial to maintain financial stability. As inflationary pressures continue to impact labor, purchased services, and supplies, it is imperative […]

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Wage Index Timeline Blog Post | Doctor typing on tablet at desk

Wage Index Timeline: Mid-Year Update and Looking into 2026

As we head into the second half of the 2025 calendar year, there are a few major dates that you need to be aware of for wage index purposes. These […]

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Therapy Compliance in SNFs: What Administrators Need to Know | Nurses working with elderly in skilled nursing facility physical therapy room

Therapy Compliance in SNFs: What Administrators Need to Know (Part Two)

Physical, occupational, and speech therapy services are vital in skilled nursing facilities (SNFs) for resident recovery, rehabilitation, and quality of life. However, beyond achieving clinical outcomes, therapy departments must navigate […]

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Therapy Compliance in SNFs: What Administrators Need to Know | Nurse in pink scrubs working with elderly

Therapy Compliance in SNFs: What Administrators Need to Know (Part One)

In Skilled Nursing Facilities (SNFs), therapy services—physical, occupational, and speech therapy—play a vital role in resident recovery, rehabilitation, and quality of life. However, beyond achieving clinical outcomes, therapy departments must […]

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Filing Medicare Bad Debt Listings With Medicare Advantage Plans | Medicare Advantage Plans | doctor with stethoscope standing in front of computer monitors

Filing Medicare Bad Debt Listings With Medicare Advantage Plans

Are you maximizing your reimbursement potential with Medicare Advantage (MA) plans? Many healthcare providers are unaware that they can file bad debt listings for additional reimbursement. The key lies in […]

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