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...
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...
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...
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...
Rural Hospital Cost Reports
Rural hospitals are instrumental in providing critical healthcare services to 46 million Americans that live in 97% of the country’s land mass. This...
Evaluation and Management (E/M) Coding Based on Time
In 2021 and 2023, time-based E/M service guidelines underwent significant revisions for office/outpatient and inpatient/observation services. The...
Pass-through Reimbursement for Your NAHE Program
Medicare is the largest single funding source for hospitals that provide training for residents and fellows in approved residency programs in...
Why Audit Incident To Services
If your practice utilizes Advanced Practice Providers (APPs), such as nurse practitioners or physician assistants, and you’re billing for their...
New Rural Designation – Rural Emergency Hospital
Hospital survival and closures are unfortunately becoming common news headlines. When closures occur in a rural community, there is usually not...
Price Transparency Data is being used to Form Impressions of your Hospital. Are They Right?
JAMA Network Open recently published a study comparing the pricing of physician-owned hospitals (“POH’s”) to non-POH’s[1].
Medicaid DSH Reductions
Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to hospitals that serve a large number of...