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The Value in Outsourcing Your Reimbursement Department

The shortage in finance and reimbursement candidates is not the only reason that a healthcare provider should consider outsourcing its reimbursement...

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Principal Illness Navigation

In November 2023, CMS released four new codes (G0023, G0024, G0140, and G0146) in the CY24 Physician Fee Schedule Final rule for Principal Health...

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Important Benefit for Medicare Dependent Hospitals and Sole Community Hospitals

The Volume Decrease Adjustment (VDA) is an important benefit to assist Medicare Dependent Hospitals (MDH) and Sole Community Hospitals (SCH) when...

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2024 Social Determinants of Health Codes

New for 2024 from CMS are the Community Health Integration (CHI) Codes. This is a new code set (G0019 and G0022) released from CMS in the Final Rule...

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Additional Revenue Opportunity Coming in 2024!

Do you remember back in 2021 when CMS first proposed to implement G2211, office/outpatient E/M visit complexity add-on, but the effective date was...

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Billing Company Audits

If you contract with a medical billing company to manage your accounts receivable, do you audit and monitor their work?

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Rural Emergency Hospital Designation

It has been a year since the new Rural Emergency Hospital (REH) designation was available to eligible facilities. Almost 20 rural hospitals have...

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Coding Audit Process Improvement and Customization

As a valued member of your organization’s compliance team, the compliance auditors view process improvement as an integral part of developing an...

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When to File - Deadlines, Timing Considerations, Risks & Benefits

The Volume Decrease Adjustment (VDA) is an important benefit to assist Medicare Dependent Hospitals (MDH) and Sole Community Hospitals (SCH) when...

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Medicaid Supplemental Payments

As we approach another major cost report due date, 6/30 year-ends are due on November 30, 2023, it is important to consider the impact that your...

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Hospital Chargemaster

Hospital Pharmacy Chargemaster Maintenance

Most hospital revenue cycle leaders know that chargemaster maintenance is an important part of keeping your hospital compliant and improving revenue...

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