Category Archives: Uncategorized

Thoughts About the Affordable Care Act

The reductions in Medicare payments that will result from the implementation of the Affordable Care Act started last year and will continue to increase during the next years. They were supposed to be somewhat offset by the increase in people … Continue reading

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Florida Hospitals … Have you had a Medicaid Outpatient Checkup Lately?

HOW WILL THE NEW FLORIDA MEDICAID INPATIENT PROSPECTIVE PAYMENT SYSTEM AFFECT YOUR HOSPITAL? July 1st 2013 Florida Inpatient Medicaid reimbursement changed from a per diem rate to an Inpatient Prospective Payment System. With any major change in payment methodology there … Continue reading

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What Exactly is Compliance?

I keep hearing “we have to do…to be compliant…or we can’t do…because it would be a compliance issue” and a lot that I hear really doesn’t make sense to me, so I’ve done some research to try to clarify “compliance” … Continue reading

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Don’t Let Medicare (Exclusively) Dictate Your CDM Content

When we started as a healthcare consulting firm, 20 years ago, none of our hospital clients had a chargemaster coordinator on staff, let alone a chargemaster committee. Individual hospital departments operated in a vacuum from a charging perspective. These days … Continue reading

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Is Automation Killing Your Bottom Line?

Automation can be a wonderful tool in the healthcare revenue cycle.  It can cut down on payment processing time, provide real reimbursement numbers for reporting and free up personnel for other tasks.  But like most other industries, there are pitfalls … Continue reading

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Follow THEIR Rules

So, let’s think about this: all of the big payers–Medicare, Medicaid, Blue Cross, Aetna, United, Cigna, Harvard Pilgrim, etc–have their own reimbursement rules. So, why do you bill them all according to Medicare’s reimbursement rules? And please note, payment rules … Continue reading

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Are you afraid?

Are you so afraid of the new laws that you’ve become paralyzed? Are you so afraid that charging for your services will be called “non-compliant” that you’re giving your services away? Are you so afraid of being “non-compliant” that you’ve … Continue reading

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