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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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Rural Hospital

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...

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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...

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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...

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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...

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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...

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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].

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Medicaid DSH Reductions

Federal law requires that state Medicaid programs make Disproportionate Share Hospital (DSH) payments to hospitals that serve a large number of...

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