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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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Creating a Financial Denial Prevention and Management Plan for Outpatient Therapy

Every hospital department deals with financial denials. Understanding the volumes of those denials for your outpatient therapy department can improve the net revenue of the department. A financial denial is […]

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Five-Star Quality Rating System: Changes Your Nursing Facility Needs to Know

On July 7, 2022 the Center for Medicare and Medicaid Services (CMS) released the updated Nursing Home Five-Star Quality Rating Technical Users’ Guide with the methodology for the changes to […]

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Period 3 Reporting Now Open: PRF Update

Reporting on Provider Relief Funds for Period 3 opened on July 1, 2022 and runs through September 30, 2022. Period 3 reporting is for any PRF payments you may have […]

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Facility Emergency Department Leveling | Stethoscope laying on top of financial reports | Blue & Co., LLC

Is Your Current Facility Emergency Department Leveling Process Working?

This article was originally published on June 23, 2022 and has been updated in October 2023. Blue & Co. has performed many Emergency Department Leveling Reviews for hospitals. The two […]

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Transparency and Advocacy in Patient Responsibility

How Transparency and Patient Advocacy Can Reduce Your Hospital’s Bad Debt

In 2019 patient medical debt in the U.S. totaled at least $195 billion, according to an analysis by the Kaiser Family Foundation, a nonprofit organization focusing on national health issues. […]

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Referral Turn-Around Times in Outpatient Therapy

How Referral Turnaround Times in Outpatient Therapy Impact Your Organization

In a previous blog post, we talked about how poor insurance verification and authorization processes can cause patients to either not come to therapy or to go to a competitor […]

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Proposed Rule FY 2023 for Skilled Nursing Facilities

Proposed Rule FY 2023 for Skilled Nursing Facilities

It is that time of year again! The Center for Medicare and Medicaid Services (CMS) has issued the proposed rule that would update Medicare payment policies and rates for the […]

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Coverage Scheduling Solutions for Physician Practices and Hospital Systems

Scheduling Solutions for Clinician Work-Life Balance

One of the most challenging conversations in any multi-physician practice or specialty-based hospital employed group is about how to create a fair distribution of on-call and/or inpatient hospital service coverage […]

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Ambulatory and Service Line Optimization

Tips for Ambulatory and Service Line Optimization

“There may be no faster death of a great idea or business than a dysfunctional team”, said Daniel Newman from Principal Analyst of Futurum Research and the CEO of Broadsuite […]

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No-Show and Cancellation Reduction Plan

Why You Need a No-Show and Cancellation Reduction Plan

Many outpatient therapy departments think of a no-show and cancellation reduction plan as a discharge plan. For example, if a patient does not show up a certain number of times, […]

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340B Hospitals Affected by COVID-19 Update

Great news for 340B Hospitals affected by COVID-19. On March 15, 2022, President Biden signed into law the $1.5 trillion Consolidated Appropriations Acts, 2022. This bill allows Hospitals that have […]

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Two Midnight Rule

Two Midnight Rule: How to Avoid an OIG Audit

The Two Midnight rule, adopted in October 2013 by the Centers for Medicare and Medicaid Services, states that more highly reimbursed inpatient payment is appropriate if care is expected to […]

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Elective surgical practices

How to Drive Growth in Elective Surgical Practices

Elective surgical practices have suffered significantly since the beginning of the COVID-19 pandemic. Patients seeking elective surgical treatment had their procedures postponed or canceled as hospital systems were striving to […]

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No Surprises Act: How to Ensure Compliance

In 2021, Center for Medicare & Medicaid Services (CMS) issued the No Surprises Act that went into effect on January 1, 2022. This Act provides Federal protections against surprise billing […]

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Medicare Code Edit 20

Coding Changes are Coming, Ensure Your Organization is Ready

For discharges occurring on and after April 1, 2022, coders will have access to new ICD-10-CM and ICD-10-PCS codes. April 1st will also introduce the new Medicare Code Editor (MCE) […]

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Webinars

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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Insight: Into How the Rural Health Transformation Program Will Impact Rural Providers

Insight: How the Rural Health Transformation Program Will Impact Rural Providers

On July 4, 2025, President Donald Trump signed into law the “One Big Beautiful Bill Act”, a sweeping budget reconciliation package that includes more than $1 trillion in estimated federal […]

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From Missed to Maximized: Medicare Bad Debt Crossover Potential Revealed | patient in a mask sitting on an examination table speaking to a doctor in a white coat and mask with a nurse in the background

Medicare Bad Debt Crossover Potential Revealed

Beginning June 7, 2024, Indiana Medicaid launched a transformative new program: PathWays, a managed long-term service and support (MLTSS) initiative designed to streamline care for aging Hoosiers. This program partners […]

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Upcoming Hospital 340B Program Recertification Window

Upcoming Hospital 340B Program Recertification Window

The Health Resources and Services Administration (HRSA) has set the annual recertification period for the 340B Drug Pricing Program for hospitals to begin on August 11, 2025, and end on […]

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The Healthcare Roadmap to Success with Network Integrity | Part Four of a Four Part Series | Text overlay on a photo of a hospital.

The Healthcare Roadmap to Success with Network Integrity

In the ever-evolving healthcare landscape, prioritizing initiatives to improve margins is essential for maintaining financial stability. In our previous video and article, we discussed how a healthcare system on the […]

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2027 Medicare Geographic Reclassifications | photo of woman's hand typing near stethoscope

2027 Medicare Geographic Reclassifications

Hospitals that submit wage index data have the opportunity to request geographic reclassification. For facilities that qualify, they can experience significant increases in both base Diagnosis-Related Group (“DRG”) and Outpatient […]

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