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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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Stack of papers next to a statue of a blindfolded woman holding a balance | Medicare Cost Report Appeal Types Infographic | Blue & Co., LLC | Medicare Cost Report Appeals | Medicare Cost Report

Medicare Cost Report Appeal Types & How to Navigate the Appeals Process

To appeal or not to appeal: that is the question. Medicare cost report appeals can be extremely profitable, but which issues are worth the time and effort to appeal? Without […]

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Nurse holding a patient's hand | Post-Acute Care Consulting | Therapy Compliance Monitoring in Alignment with the OIG Program Guide

Therapy Compliance Monitoring Under the OIG Program Guide

The therapy team plays a pivotal role in ensuring quality compliance and promoting person-centered care within nursing facilities. In November 2024, the Office of Inspector General (OIG) released its Nursing […]

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Stethoscope on an RX pad | CMS Issues Guidance Regarding Part B Preventive Vaccines for RHCs and FQHCs

CMS Issues Guidance Regarding Part B Preventive Vaccines for RHCs and FQHCs

In November, CMS finalized a change to how RHCs and FQHCs will bill for certain Part B Preventive vaccines as part of the 2025 Medicare Physician Fee Schedule Final Rules. […]

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What Indiana Nonprofit Hospitals Need to Know: Executive Order 25-22 and House Bill 1004

On January 21, 2025, Indiana Governor Mike Braun signed Executive Order 25-22, addressing the provision of charity care by nonprofit hospitals in the state. The order acknowledges that Indiana does […]

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Needle and medicine vial - 2025 340B Recertification

2025 340B Recertification Reminder for Federal Grantee Organizations

Updated February 11, 2025 A new recertification window has been announced for the 2025 Grantee recertification period for Consolidated Health Centers, Federally Qualified Health Centers & Look-Alikes, Ryan White Clinics, […]

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Bipartisan Support for Increased Internal Revenue Service Oversight of Nonprofit Hospitals

On November 19, 2024, Senators Charles Grassley and Elizabeth Warren submitted this linked letter to the Internal Revenue Service (IRS) urging the agency to increase its oversight of nonprofit hospitals […]

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CMS Ruling 1498-R3 Causing Medicare Cost Report Settlements

We have started to see a number of Medicare Cost Report settlements come through over the past month related to the CMS Ruling 1498-R3. The issue is related to the […]

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Blue Cross and Blue Shield Antitrust Litigation Update

Earlier this month, the US District Court for the Northern District of Alabama issued a preliminary approval of the proposed settlement of the class action lawsuit against Blue Cross and […]

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2025 Medicare Physician Fee Schedule Final Rule Impacts RHCs

On November 1, the Centers for Medicare and Medicaid Services (CMS) released the CY 2025 Medicare Physician Fee Schedule Final Rule. This final ruling includes several significant changes for Rural […]

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6 Tips to Help Prepare for 2025 Tax Season

The end of 2024 is quickly approaching, and business owners are once again scrambling to put their companies in the best tax position and minimize tax surprises. The question we […]

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Section 1557 Nondiscrimination Rule: November 2nd Deadline

The Department of Health and Human Services (HHS) released the Nondiscrimination in Health Programs and Activities final ruling that speaks on Section 1557 of the Affordable Care Act. This ruling […]

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Internal Audit versus External Audit: The Key Differentiators

Most organizations are familiar with external audits that are performed by licensed auditors to ensure financial statements are accurate. Internal audit refer to systematic and independent examinations of an organization’s […]

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340B Recertification Window Now Open: Reminder for Hospitals

The Health Resources and Services Administration (HRSA) has set the annual recertification window for the 340B Drug Pricing Program for hospitals from August 12, 2024 to September 9, 2024. The […]

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CMS 2024 Physician Fee Schedule Update

Every year the Centers for Medicare and Medicaid Services (CMS) publishes their annual Final Rule, which contains updates to the Physician Fee Schedule that impact what healthcare organizations are reimbursed […]

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Understanding Duplicate Payments and how to Prevent Them

Duplicate payments happen when a company pays the same invoice or for the same product or service more than once. According to the Association for Financial Professionals, duplicate payments average […]

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Webinars

Benchmarking Physician Pay: How the Highest and Lowest Paid Specialties Compare

Benchmarking Physician Pay: How the Highest and Lowest Paid Specialties Compare

According to Medscape’s 2025 Physician Compensation Report, four specialties now average over $500,000 annually, with orthopedic surgery topping the list at $543,000. The report, based on responses from over 7,300 […]

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HRSA Update Regarding Rebate Model Pilot Programs

HRSA Update Regarding Rebate Model Pilot Programs

HRSA released a request for public input on potential future pilot programs on February 17th and also released a second request on February 25th regarding the burden of a pilot […]

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Preparing for the June 30 CMS Occupational Mix Survey Deadline

Preparing for the June 30 CMS Occupational Mix Survey Deadline

Occupational Mix Deadline The deadline for hospitals to submit the Occupational Mix Survey this year is June 30th.  CMS collects data every three years on the Occupational Mix of employees […]

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New PAMA Reporting Window Announced

New PAMA Reporting Window Announced: What Hospitals Should Know

Congress has again postponed the next PAMA clinical lab reporting period. Hospitals and outreach labs should still prepare. The new guidelines moved the reporting window to May 1, 2026, through […]

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New Federal Requirements Will Reshape How Hospitals Manage Provider-Based Off Campus Outpatient Departments

New Federal Requirements Will Reshape How Hospitals Manage Provider-Based Off-Campus Outpatient Departments

A significant policy shift is about to reshape how hospitals structure, track, and bill for their off-campus Provider-Based Hospital Outpatient Departments (PB HOPDs). With the approval of Section 6225 of […]

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2026 340B Program Federal Grantee Recertification

2026 340B Program Federal Grantee Recertification

A new recertification window is now open for the 2026 grantee recertification period for Consolidated Health Centers, Federally Qualified Health Centers & Look-Alikes, Ryan White Clinics, Comprehensive Hemophilia Treatment Centers, […]

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