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Occupational Mix Survey Deadline Extended

CMS has granted an extension for hospitals nationwide to file their Occupational Mix Surveys (OMS). The original due date of July 1, 2020, has been extended to August 3, 2020.

Every three years, the Centers for Medicare and Medicaid Services (CMS) requires any hospital that is subject to the Inpatient Prospective Payment System (IPPS) to complete an OMS. The data collected from these surveys is used to calculate the Occupational Mix Adjustment Factors (OMAF) which will affect your FFY 2022, 2023, and 2024 DRG and APC rates.

Since the survey is only required once every three years, we find that many hospitals have questions about the impact the Occupational Mix Surveys can have on their reimbursement or how CMS uses the surveys. Many times we find that the surveys have been completed inaccurately or are incomplete. In order to optimize your hospital’s reimbursement, it is crucial for your hospital to identify the areas of opportunity and understand how the data needs to be reported.

We would appreciate the opportunity to assist your hospital to identify opportunities and to develop strategies while completing this survey. Please contact Kyle Smith with any questions.

Pharmacy Benefit Managers: What is Your Plan Paying For?

Pharmacy Benefit Managers: What is Your Plan Paying For?

The world of pharmacy benefits continues to get more complicated, and that is unfortunately not an accident. Pharmacy benefit managers, also known as PBMs, such as Optum, CVS Health, and Express Scripts, cover more than 80% of the American public’s pharmacy needs. Due to their size and control over the pharmacy industry, they can negotiate […]

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pharmacy benefits

On-Demand Webinar: Transparency and Control, Demystifying Pharmacy Benefits

The world of pharmacy benefits is not transparent by design — pharmacy benefit managers do not want you to look into where your costs are truly going. Join Blue & Co., LLC on Tuesday, April 13 from noon to 1 p.m. for a webinar where our team of Pharmacy Consultants will explain how pharmacy benefit […]

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Revenue Improvement

Revenue Improvement Case Study: Outpatient Physical and Occupational Therapy

Blue & Co. reviewed publicly available information on a 120 bed, non-profit, acute-care hospital. The data suggested there was revenue improvement opportunity in their outpatient physical and occupational therapy departments. The department had approximately 27,000 patient visits the previous year. During an assessment, we co-validated a significant set of revenue improvement opportunities: charge capture improvement, […]

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