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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In our last thought leadership, we gave an update on new pricing transparency rules. Within the same rule, CMS requires a new cost report worksheet that utilizes the new pricing […]
What to Expect from CMS in 2026 As we close out 2025 after a year of regulatory challenges, Skilled Nursing Facilities (SNFs) enter 2026 amid evolving CMS rules, heightened compliance […]
Critical Access Hospital (CAH) Method II Claim Updates Effective January 1, 2026, Critical Access Hospital (CAH) Method II claims will be denied if the Attending & Rendering providers have not […]
On November 21, 2025, CMS finalized updates to Hospital Price Transparency regulations in the CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Final Rule. These […]
Hospital outpatient physical and occupational therapy is one of the few levels of care that has not been forced into a capitated environment. For most hospitals, this service is paid […]
The Health Resources and Services Administration (HRSA) has approved a 340B Rebate Model Pilot Program that will significantly change how 340B discounts are accessed for covered entities for certain medications. […]
With the September 2, 2025, deadline for hospitals to submit revision requests to their Worksheet S-3 wage data for the Federal Fiscal Year (FFY) 2027 Wage Index now passed, and […]
Since October of 2019, the Patient Driven Payment Model, or PDPM, has been the payment system for Medicare Part A in Skilled Nursing Facilities. Prior to this, payment was made […]
The Importance of Communication with the Team Medicaid is changing the way it pays for care in most states, but that doesn’t preclude us from treating patients and “providing care […]
Executive Summary The Centers for Medicare & Medicaid Services (CMS) has released the final version of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual v1.20.1. This […]
As financial pressures continue to challenge hospitals and with many uncertainties still looming related to the “One Big Beautiful Bill,” hospitals must act now in looking at operational opportunities. The […]
Effective October 1, 2025 | CMS RAI Manual v1.20.1 The Centers for Medicare & Medicaid Services (CMS) has released the final version of the Minimum Data Set (MDS) 3.0 Resident Assessment […]
As part of the 2026 and 2027 Ohio budget bill, Ohio legislators included annual reporting requirements for 340B Program Covered Entities. This legislation, which was signed into law on June […]
Lately, a growing number of hospitals and health systems are asking a critical strategic question: Should we own and operate our own retail pharmacy and specialty pharmacy? Hospitals have often […]
Indiana Senate Bill 118, which went into effect on July 1, 2025, requires certain Covered Entities participating in the federal 340B Program to annually report data regarding their program to […]
Webinars
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) […]
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 […]
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 […]
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 […]
Beginning in 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 […]
By Kim Scifres, CPA, Principal Tax-exempt hospitals continue to face increasing scrutiny from lawmakers, regulators, researchers, and the public regarding how they demonstrate the value they provide to their communities. […]




























