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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Critical Access Hospital Method II Claim Updates

Critical Access Hospital Method II Claim Updates

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 […]

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CMS Changes to Hospital Price Transparency

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 […]

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Outpatient Therapy: Improving Margins and Referral Flow

Outpatient Therapy: Improving Margins and Referral Flow

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 […]

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New 340B Rebate Model Pilot Program: What to Know

New 340B Rebate Model Pilot Program: What to Know

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.  […]

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Wage Index Impacts of MAC Reviews - Do you have a plan for challenges?

Wage Index Impacts of MAC Reviews – Do you have a plan for challenges?

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 […]

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The Importance of Therapy in a Post-RUG World

Why Therapy Compliance and Documentation Integrity Must Remain Top Priority

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 […]

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The 1-2-3 of Therapy: Importance of Communication with the Team

The 1-2-3 of Therapy: Importance of Communication with the Team

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 […]

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White Paper: SNFs Key Takeaways from the RAI Manual v1.20.1

White Paper: SNFs Key Takeaways from the RAI Manual v1.20.1

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 […]

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The Value of Conducting Productivity Analysis in Hospitals

The Value of Conducting Productivity Analysis in Hospitals

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 […]

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How the New RAI Guidance Impacts Falls with Major Injury Reporting in Indiana SNFs | Nursing helping man with woman nearby

How the New RAI Guidance Impacts Falls with Major Injury Reporting in Indiana SNFs

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 […]

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New Ohio 340B Program Reporting Requirements | Photo of text over spilled pills.

New Ohio 340B Program Reporting Requirements

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 […]

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Should Every Hospital Have a Retail and Specialty Pharmacy? | hand holding clipboard and medication in front of shelf of medication

Should Every Hospital Have a Retail and Specialty Pharmacy?

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 […]

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Indiana SB 118: New 340B Reporting Requirements for Covered Entities | text over top of red and white pills

Indiana SB 118: New 340B Reporting Requirements for Covered Entities

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 […]

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Procedure vs. Prevention: The Economic Realities of Physician Specialties in 2025

Procedure vs. Prevention: The Economic Realities of Physician Specialties in 2025

The recent article, “29 Physician Specialties Ranked by Pay” from Becker’s Hospital Review, compares 29 physician specialties based on average annual compensation using data from the 2025 Medscape Physician Compensation Report, which surveyed […]

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CMS Launches New MDS Audits for SNFs

CMS Launches New MDS Audits for SNFs

The Centers for Medicare & Medicaid Services (CMS) will be initiating new Minimum Data Set (MDS) audits through iQIES. Understanding the Skilled Nursing Facility (SNF) Validation Program and its requirements […]

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Webinars

Annual Wellness Visits: Implementation Process

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 […]

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Annual Wellness Visits: Understanding their Value

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 […]

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What are Annual Wellness Visits?

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 […]

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Community Benefit Reporting Remains in the Spotlight: What Tax-Exempt Hospitals Should Know

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. […]

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Close-up of a doctor's hand holding a stethoscope against a blurred clinical background, illustrating hospital leadership and Medicare geographic reclassification services.

Medicare Geographic Reclassification: Eligibility, Deadlines, and Wage Index Impact for Hospitals

Written by Christopher Hemans, CHCRS, Manager Every year, billions of dollars hinge on a little-known process known as Medicare geo-reclassification. For hospitals, the difference between thriving and struggling can come […]

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Medicare Cost Report Worksheet S-12

Medicare Cost Report Worksheet S-12: Getting Prepared for the New Requirement

Beginning with cost reporting periods ending on or after January 1, 2026, many acute care hospitals will face a new Medicare cost reporting requirement: Worksheet S-12. For the first time, […]

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