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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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Kentucky Nursing Home Operators Challenge with Lawsuits is Ongoing

Kentucky Nursing Home Operators’ Challenge With Lawsuits Is Ongoing

Significant dollar amounts have been recently awarded to those who have filed lawsuits against providers.  Kentucky does not have a limit (cap) for the dollar amount for damages that one […]

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Documentation, coding, and billing for nursing home services

Documentation, Coding And Billing Requirements For Nursing Home Services

According to the most recent Centers for Disease Control statistics, 1.4 million Americans reside in nursing homes. Federal and state laws require that nursing home residents be under the care […]

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CMS re-releases timetable for FFY 2020

CMS Re-releases Timetable For FFY 2020 Wage Index Survey And The Preliminary Wage Index PUF

On June 8, 2018, the Centers for Medicare and Medicaid Services (CMS) re-released the timetable for Federal Fiscal Year (FFY) 2020 Wage Index Survey and the preliminary Wage Index Public […]

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Physician Margin Recovery Improve Performance

Physician Margin Recovery Six Ways To Improve Performance

Many hospitals and health systems are looking for ways to create a sustainable financial model when it comes to their employed physicians.  In this brief article, we will review our […]

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How to identify missed opportunities

How To Identify Missed Opportunities

To give patients the best service possible, many physicians end up performing multiple services in one visit. This is great for the patient, but can lead to lost dollars and […]

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Looking forward: Blockchain and Healthcare

Looking Forward: Blockchain And Healthcare

Blockchain is beginning to garner more and more attention in the business media and being touted as the next transformative use of technology across many industries, including healthcare. The most […]

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Update from the AHIMA Advocacy Summit 2018

Update From The AHIMA Advocacy Summit 2018

The American Health Information Management Association (AHIMA) held its annual Advocacy Summit in Washington, DC on March 19-20, 2018. Members from all over the country came together to inspire leadership […]

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MIPS Reporting Deadlines Are Almost Here!

Don’t wait until the last minute to submit your data for the 2017 Merit-Based Incentive Payment System (MIPS) performance period. Now is the time to act. The key dates are: […]

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Skilled Nursing And Post-Acute Providers Have A Proposed New Payment System

The newly proposed Department of Health and Human Services (HHS) budget was recently announced for skilled and post-acute nursing providers. According to major trade groups, the changes for skilled nursing […]

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CMS Posts Draft Version Of The MDS 3.0 Data Specifications For Oct. 1, 2018

The Centers for Medicare and Medicaid Services posted a new version of the Minimum Data Set (MDS) 3.0 Data Specifications on January 25, 2018. The DRAFT version proposes significant changes […]

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The Future Today: Telehealth

The Future Today: Telehealth

Telehealth and its emergence as a critical healthcare component is becoming painfully evident. Patient demand is rising and according to Zion Market Research, an estimated $38 billion will have been […]

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2018 Evaluations Management Proposed Changes

Update On The 2018 Evaluation And Management Proposed Rule Change

Most physicians/practitioners bill patient visits to payers using a set of codes known as evaluation and management (E/M) codes. Billing physicians/practitioners must maintain certain information in the medical record that […]

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Is your charitable hospital in compliance with IRC 501(r)?

Is Your Charitable Hospital In Compliance With Irc §501(r)?

Even though there have been several attempts this year to repeal the Patient Protection and Affordable Care Act (the “ACA”), the efforts have not been successful. Additionally, the attempted repeal […]

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The Future Of Coding Clinical Validation Reported Diagnoses

Lynette Thom, BS, RHIT, CCS, CDIP AHIMA Approved ICD-10-CM/PCS Trainer U.S. hospital revenue cycles have been undergoing radical changes since the advent of the prospective payment system (PPS). In response […]

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New service: Supervised exercise therapy for symptomatic peripheral artery disease

Supervised Exercise Therapy (SET) For Symptomatic Peripheral Artery Disease (PAD)

On May 17, 2017, the Centers for Medicare & Medicaid Services (CMS) determined that the evidence was sufficient to cover supervised exercise therapy (SET) for beneficiaries with intermittent claudication (IC) […]

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Webinars

Stack of papers next to a statue of a blindfolded woman holding a balance | Medicare Cost Report Appeal Types Infographic | Blue & Co., LLC | Medicare Cost Report Appeals | Medicare Cost Report

Medicare Cost Report Appeal Types & How to Navigate the Appeals Process

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 […]

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Nurse holding a patient's hand | Post-Acute Care Consulting | Therapy Compliance Monitoring in Alignment with the OIG Program Guide

Therapy Compliance Monitoring Under the OIG Program Guide

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 […]

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Stethoscope on an RX pad | CMS Issues Guidance Regarding Part B Preventive Vaccines for RHCs and FQHCs

CMS Issues Guidance Regarding Part B Preventive Vaccines for RHCs and FQHCs

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. […]

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What Indiana Nonprofit Hospitals Need to Know: Executive Order 25-22 and House Bill 1004

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 […]

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Needle and medicine vial - 2025 340B Recertification

2025 340B Recertification Reminder for Federal Grantee Organizations

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, […]

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Bipartisan Support for Increased Internal Revenue Service Oversight of Nonprofit Hospitals

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 […]

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