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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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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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: […]
Webinars
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]