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Healthcare Data

Pushing Against the Pillars of Power: AHA Makes Its Case to CMS

An ancient account tells of a single man who was pitted against an entire community, including its rulers and a throng of thousands. But when push came to shove, it was the solitary underdog who prevailed. How did he accomplish such a feat? He undermined the pillars on which the entire edifice was built. Pushing […]

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Cracking the Code: Qualifying and Quantifying the QZ Modifier

It was called the Enigma machine. During WWII, it was Germany’s fail-safe encryption device that would secure all communications between its fleet of U-boats and the naval high command. A coded message would go out and be received. The message could only be deciphered using the Enigma. If the allies could only get their hands […]

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A Mixed Bag: New Study Highlights Hospital Health

Perfection is a nearly impossible standard, a practically unreachable goal. No one earned a perfect score in the modern Olympics era until Romanian gymnast Nadia Comaneci came along in 1976 with her peerless performance on the uneven bars—10.0. In medical terms, a “clean bill of health” may be given out fairly routinely, but that doesn’t […]

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2025 IPPS Proposed Rule: Additional Reporting Programs

Over the last two weeks, we have presented our readers a summary of provisions found in the FY 2025 Medicare Inpatient Prospective Payment System (IPPS) proposed rule. Last week, we introduced some of the quality programs. Today’s article takes a look at additional reporting programs that hospital administrators will need to consider. Hospital Readmissions Reduction […]

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2025 IPPS Proposed Rule: Quality Programs for Hospitals

Last week, we brought you a summation of the key provisions in the Medicare Inpatient Prospective Payment System (IPPS) proposed rule for fiscal year (FY) 2025. Today’s article will focus on the quality programs that concern the inpatient setting. Hospitals that do not submit quality data or do not meet all Hospital Inpatient Quality Reporting […]

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Medicare Advantage and Part D: CMS Issues Final Rule

We recently brought an alert dealing with allegations against Medicare Advantage (MA) to the effect that MA plans were more prone to deny claims or delay payments when compared to Medicare or third-party payers. Medicare Advantage is back in the news—but, this time, for another reason. Last week, the Centers for Medicare and Medicaid Services […]

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Washington to the Rescue: Help to Hospitals in Wake of Cyberattack

In an attempt to address in some meaningful way the serious impact of last month’s cyberattack against Optum’s Change Healthcare—which went on to create ripples in the stability of the nation’s overall healthcare system—the Centers for Medicare and Medicaid Services (CMS) issued this past Saturday an announcement that it was providing immediate help. The agency […]

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Best Practices for Improved Financials Post-COVID: 3 Part Series – Part 3: Efficiency Maximization

The COVID pandemic created challenges for practices that had to pivot their operations to restore revenues, adapt to the changing environment, and accelerate growth. This webinar, brought medical billing experts from Coronis Health together to discuss best practices for improved financials and provide case studies on how practices have improved operations. In this final part […]

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How Outsourcing Your Addiction Treatment Center Medical Billing Can Reduce Denial Rates

Sorting through behavioral health reimbursement regulations can be a time-consuming and costly process. It’s common for small facilities like addiction treatment centers to have limited administrative assistance for billing and collections—some providers even manage billing themselves. This arrangement can be overwhelming and lead to breaks in the revenue cycles and lost income.  Addiction treatment facilities can […]

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