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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Individual working medicare/medicaid bad debt

Medicare/Medicaid Crossover Accounts: Are They At Risk?

Medicare recently published updated bad debt regulations and the time is NOW to safeguard your Hospital’s reimbursement. Are you following proper guidelines to ensure you can write-off your Medicare/Medicaid crossover accounts? The first step to ensure you are following proper guidelines is to review the “Must-Bill policy” for reimbursement of crossover bad debts below. The easiest […]

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Working on 340B Program Strategy.

Retail Pharmacy Strategy: Is it Time for Your Organization or 340B Program to Consider One?

With current attacks on the 340B Program by some pharmaceutical manufacturers and other challenges affecting patients in need of prescription drugs, is it time for your Hospital or Health Center to consider a retail pharmacy strategy of its own? Some Hospitals and Health Centers own retail pharmacies, but opportunity still exists to improve the patient […]

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Download the 2021 Physician Fee Schedule Proposed Rule: The Good, The Bad, and The Ugly Whitepaper

For several years, the healthcare community has struggled to find balance between reducing administrative burden, accurately recognizing and recording services provided, and upholding and providing the highest quality care possible, all while the Centers for Medicare & Medicaid Services (CMS) operates with a budget neutral mandate. If finalized as is, the Proposed Rule1 (CMS-1734-P) will […]

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Outpatient Therapy | WellSky Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

On Demand Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

Outpatient physical therapy programs are often overlooked in the hospital. However, there are several opportunities to increase access to care for patients and increase revenue for the hospital in outpatient therapy. Believe it or not, there are still opportunities for charge capture in this area, along with some basic “blocking and tackling” operational issues. New […]

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Smiling man looking off camera while holding an ipad in an office | Centers for Medicare and Medicaid Updates Language on Medicare Bad Debt Crossover Write Off | Blue and Co. LLC

CMS Updates Language on Medicare Bad Debt Crossover Write Off

Since the release of Centers for Medicare & Medicaid (CMS) final ruling, there has been a lot of confusion regarding the correct way to write off a bad debt crossover account. For years it has been acceptable to write off a Medicare bad debt crossover account to a contractual allowance. But then in 2018 an […]

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Gold lock on a laptop keyboard | FBI Warns Ransomware Attacks Threaten US Healthcare System | IT Consulting Services | Healthcare Consulting Services | Blue and Co. LLC

FBI Warns Ransomware Attacks Threaten US Healthcare System

Health systems are being warned by federal officials that cybercriminals are preparing to unleash a wave of ransomware attacks designed to lock up hospital information systems, which could hurt patient care just as nationwide cases of COVID-19 are spiking. It is anticipated by federal authorities this attack will occur this weekend. The attackers are utilizing […]

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Happy healthcare workers | Medicare Bad Debts

Medicare Bad Debts Regulations Update: October 2020

In these unprecedented times, protecting your Medicare bad debt reimbursement is more important than ever. With decreases in patient volume due to COVID-19, hospitals will certainly feel the effect on their wallet. Coupled with the release of Centers for Medicare and Medicaid Services’ (CMS) final rule, NOW is the time to safeguard your Hospital’s reimbursement. […]

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Outpatient Therapy | WellSky Webinar: Hospital Outpatient Therapy: A Patient-Centric Way to Grow Revenue

Webinar: Hospital Outpatient Therapy: A Patient-Centric Way To Grow Revenue

Join John Britt, Senior Manager and outpatient rehabilitation consultant at Blue & Co., LLC as he discusses with WellSky why outpatient physical therapy not only makes good business sense but provides significant value to your patients. During this presentation, you will learn: How to improve patient access to the full plan of care Why charge […]

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PAC News

Skilled Nursing Facilities PPS FY 2021 Final Rule Summary

Centers for Medicare & Medicaid Services (CMS) issued a final rule [CMS-1737-F] for Fiscal Year (FY) 2021 that updates the Medicare payment rates and the value-based purchasing program for skilled nursing facilities (SNFs). Effective October 1, 2020 under the PPS Patient- Driven Payment Model (PDPM). Federal Based Rates Updates to Payment Rates Under PPS Case-mix […]

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Bad Debt

Webinar: 2021 IPPS Final Rule- What’s New, What’s Old

Join us Thursday, October 1st from Noon to 1 PM Eastern. Join Michael Alessandrini, Rebecca Meredith, and Nicole Cameron on October 1st from Noon to 1 PM Eastern as they discuss the 2021 IPPS Final Ruling with Kentucky HFMA. They will review the Final 2021 Inpatient Prospective Payment System rule and look at changes in […]

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09.23.20 MMW Outsourcing

On Demand Webinar: How Outsourcing Can Grow Your Practice

Join Medical Marketing Whiz and Walt Eckert of Blue & Co., as they discuss How Outsourcing Can Grow Your Practice. You’re going to learn: Learn when it is the right time to outsource specific services for your business Understand the benefits of hiring an experienced expert at a fraction of the cost of a full-time […]

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09.10.20 Bad Debt

CMS Finalized Ruling- Medicare Bad Debt Summary

On September 2, 2020, CMS released its final ruling. It is effective beginning October 1, 2020, for FY 2021. This means it will go in to effect the first day of your fiscal year 2021. Below you will find a summary of the finalized regulations put in place by CMS for the Medicare Bad Debt […]

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340B 9.4.20 Updates

Additional Challenges Arise for Protecting the 340B Program

340B covered entities have likely felt bombarded during the last few weeks with various letters from manufacturers, word of additional cuts in Medicare part B drug reimbursement for some hospitals, and an executive order about insulin and epi-pens for community health centers. Advocacy groups, including 340B Health, the National Association of Chain Drugstores, the American […]

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Webinars

Charity Reimbursement

Charity Reimbursement: Protecting it from Audit Scrutiny

There is a new audit trend coming down the pipeline that could impact your charity reimbursement for Medicare bad debt. In the past there was no enforcement of statements being sent to a charity patient before they were deemed indigent. Until a patient has been approved for charity, they are still deemed non-indigent. Auditors are […]

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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 to HIPAA that require organizations to use Federal guidelines to ensure digital health information is secure. Those provisions include: Privacy Rule Security Rule Enforcement Rule […]

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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 introduced the following reforms: Phase-in steady increases in the RHC statutory cap over an eight year period Subjects all new RHCs to the new Medicare […]

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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. The department had approximately 27,000 patient visits the previous year. During an assessment, we co-validated a significant set of revenue improvement opportunities: charge capture improvement, […]

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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, it is primarily driven by high deductible health plans, changing technology, shifting patient demographics and value-based care payer contracts, healthcare care consumerism and the experience […]

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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 cost to the beneficiary. This plan may help prevent illness based on current health and risk factors. It is not a routine physical, and an […]

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