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We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.

June 7, 2023

End of the Injection Mandate: Ramifications for Hospitals

It is safe to assume that most people do not have a positive impression of the word “mandate.” The very concept is anathema to the average American as it runs counter to our revolutionary spirit and the sensibilities of our founding document. We assert that we are a free people, living in “the land of […]

June 6, 2023

A Snapshot of the Nursing Shortage Crisis: The Take from Washington State

From time to time, we have attempted to keep our readers abreast of the status of the nursing shortage crisis that has befallen many facilities since the advent of COVID-19. We’ve looked at statistics and reports of strikes and solutions proposed or implemented in various states around the country. Today’s article provides insight on what’s […]

June 6, 2023

The Consequences of Failure: Hospital Fined for Patient Death

We’ve all heard that classic movie line: “Failure is not an option.” And don’t forget those admonitions from mom or dad reminding you that there would be consequences for your epic fails. It turns out that the quote from the Apollo 13 blockbuster film and that archetypal parental rebuke are both rooted in a very […]

June 6, 2023

Safety First: Joint Commission Publishes Patient Safety Goals

There is something to be said for the hard hat, that orange life jacket and a rope-secured harness. They have saved the lives of many construction workers, boaters and rock-climbers over the years. Even though it represents an extra expense and a bit of a hassle, deploying safety equipment and observing safety strategies have been […]

June 6, 2023

2024 IPPS Proposed Rule: Incentive Programs

Over the last two weeks, we have brought you highlights from the 2024 Inpatient Prospective Payment System (IPPS) Proposed Rule (PR) published last month by the Centers for Medicare and Medicaid Services (CMS). Today’s article will focus on the incentive programs applicable to hospital inpatient services that are being proposed for the 2024 fiscal year […]

May 3, 2023

2024 IPPS Proposed Rule: Part 2

May 3, 2023 Last week, we began a three-part series of articles outlining some of the key provisions of the FY 2024 Inpatient Prospective Payment System (IPPS) Proposed Rule (PR).  In this week’s alert, readers will be provided additional highlights arising from the associated fact sheet published by the Centers for Medicare and Medicaid Services […]

April 21, 2023

Essential Behavioral Health Billing Guidelines

Behavioral health billing can be a complex and time-consuming task for healthcare organizations. However, it is essential for your organization’s financial health and sustainability. Our guide will discuss important behavioral health billing guidelines, common pitfalls to avoid, and tips for improving your billing process and reducing denials. Why Is Behavioral Health Billing Important for Your […]

April 18, 2023

What to Know About Orthopedic Medical Billing

Orthopedics is a branch of medicine concerned with musculoskeletal conditions like bones, joints, ligaments, and tendons. Billing for orthopedic services involves complicated processes, rules, and resolutions. Therefore, it’s essential to understand the nuances of orthopedic medical billing to avoid costly mistakes that affect your bottom line. Eliminating orthopedic billing and coding errors creates a healthy […]

April 18, 2023

Why Outsource Your Orthopedic Medical Billing Services?

For orthopedic facilities, a solid revenue cycle management process is crucial to financial success. With complex clinical needs and medical billing, you need a billing team with a thorough knowledge of the nuances in orthopedics and expertise in the specialty’s billing and coding. Outsourcing medical billing services is the best solution to achieving your bottom-line […]

April 18, 2023

What Modifiers Are Used for Behavioral Health Billing? 

Modifiers are used in healthcare billing to indicate a procedure or type of service provided in addition to an evaluation and management service or to identify the level of a provider. A modifier code is typically two characters (numbers or letters) that are added to the procedure codes in the claim. Modifiers in behavioral health […]