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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It’s the second week of January and the Provider Relief Fund reporting portal is open for Period 2 reporting. The portal will remain open until March 31, 2022 and is […]
Do you know that CMS is making significant changes to split/share and critical care services in 2022? Are your providers aware of the changes? Are they prepared to modify the […]
How would you like to reduce medical necessity denials in your outpatient therapy services? One way to do that is to ensure your therapists are capturing the impairment diagnoses in the […]
President Biden’s administration recently announced its Path Out of the Pandemic action plan which included specific guidance around a COVID-19 vaccine mandate. The action plan calls for employers with 100 […]
Last week there were two new rules issued by the Biden administration regarding vaccine mandates. The Center for Medicare and Medicaid Services (CMS) released an interim final rule (IFR), along […]
by Joseph Evenson, Staff Accountant In the business valuation world, due diligence is crucial now more than ever. The “same as last year” mentality is no longer acceptable until we […]
By John Britt, Senior Manager Outpatient therapy is a recurring service; for example, a routine plan of care is often 12 visits over 30 days. With rising co-pays and deductibles, […]
Pursuant to KRS 205.640 and managed care contracts, Kentucky Medicaid Managed Care Organizations (MCOs) are required to provide a Paid Claims Listings (PCLs) to all in-state hospitals. The department and […]
By Brandon Nowling, CPA, CVA, Senior Accountant COVID-19 has created much uncertainty for business owners who are considering buying or selling a business during these troubling economic times. Many owners […]
The Volume Decrease Adjustment (VDA) is a lump sum payment available to Sole Community Hospitals (SCH) or Medicare Dependent Hospitals (MDH) who have experienced more than a 5% decrease in […]
When looking at your Outpatient Physical and Occupational Therapy departments, have you noticed a decrease in the volume of outpatient services? At Blue & Co. we often find that many […]
Fiscal Year (FY) 2022 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (CMS-1746-F) was released on July 29, 2021 by the Center for Medicare and Medicaid Services (CMS). […]
Outpatient Physical and Occupational Therapy are both paid either on a fee schedule or as a percent of charges. This means that if you are missing charges, you are missing […]
On July 20th, HRSA hosted a Reporting Technical Assistance Session regarding the Provider Relief Funds Portal. A few members of the Blue & Co. team attended this online session and […]
New HCPCS codes related to consolidated billing for Skilled Nursing Facilities goes into effect, Oct. 1, 2021. CMS states that this will impact any SNF that “bill Medicare Administrative Contractors […]
Webinars
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 […]




























