Anyone who works in the healthcare industry knows that their organization takes steps to protect patient health information under a series of guidelines known as HIPAA. There are several provisions […]
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On December 27, 2020 the Consolidated Appropriations Act of 2021 introduced changes to the existing Rural Health Clinic payment structure. Changes to the Rural Health Clinic Payment Structure This legislation […]
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The Centers for Medicare and Medicaid Services (CMS) released the proposed rule for fiscal year (FY) 2022 that would update Medicare’s prospective payment system (PPS) rates for skilled nursing facilities […]
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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 […]
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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 & […]
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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. […]
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The concept of consumerism in healthcare delivery is rooted and shaped in the world of retail services. To keep it simple, patient experience competencies should drive your consumerism strategy. However, […]
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Beginning 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 no […]
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Monitoring data in long term care can be the key to success. Five Star Ratings and PEPPER Reports are two data sources your organization needs to review to stay on […]
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How to Protect Dual Eligible Reimbursement from Audit Scrutiny In the past year, there has been a new audit trend emerging amongst MACs (Medicare Administrative Contractors). In some cases, this […]
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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 […]
By Andrew Brock, CPA, Senior Manager at Blue & Co. As the new year begins, it is often a time for setting personal and professional goals. The colloquial saying behind […]
The 2025 Grantee recertification period for Consolidated Health Centers, Federally Qualified Health Centers & Look-Alikes, Ryan White Clinics, Comprehensive Hemophilia Treatment Centers, Native Hawaiian, Black Lung Programs, Urban Indian, and […]
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