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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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 […]
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 […]
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. […]
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 […]
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, […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
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 […]
Webinars
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. […]
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 […]
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, […]




























