Featured Article

December 12, 2019

Happy Holidays: Update Your EMRs and Review Your Procedures

By Timothy Powell, CPA CHCP
Updating electronic medical records (EMRs) will allow for electronic signing and dating. New Medicare regulations became effective Jan. 1, 2020. Per the Centers for Medicare & Medicaid Services (CMS) news release: “To reduce burden, we are finalizing broad modifications to the documentation policy so that physicians, physician assistants, and advanced…
December 5, 2019

Medicare Releases Jurisdictional Findings – Too Late to Help

By Timothy Powell, CPA CHCP
The biggest hurdle providers face is the prospective nature of the payment system. It was always a black hole. The Medicare Provider Reimbursement Review Board, or the PRRB, as it is commonly called, decided whether hundreds of Medicare cost report appeals would move forward or would be blocked for “jurisdictional…
November 21, 2019

Price Transparency: Two Rules for the Same Issue

By Stanley Nachimson, MS
One rule is proposed; the other is now the final rule on price transparency. The Centers for Medicare & Medicaid Services (CMS) recently issued two rules intended to increase the transparency of pricing in the healthcare system, continuing its efforts to provide patients with more data to make informed decisions…
November 11, 2019

The Intersection of Veterans and the SDoH

By Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP
EDITOR’S NOTE: This story was first published by RACmonitor on Monday, Nov. 11 in honor of Veteran’s Day. As a proud granddaughter of the Army, daughter of the Navy, and spouse and aunt of the Air Force, I’m humbled by the dedication of those who have served and continue to…
November 7, 2019

Want Data on Population Health? It’s Only a Click Away

By Timothy Powell, CPA CHCP
The government website is designed to help improve the lives of all Americans. Population health is a relatively new term for most people, even with the healthcare community.  According to David Kindig and Greg Stoddart in their March 2003 article "What is Population Health?" in the American Journal of Public…
Both policy issues remain on the CMS agenda, even though the agency has lost two court battles. Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma was probably well aware of what she was walking into last week at the U.S. House of Representatives Energy and Commerce committee hearing.…
October 24, 2019

Identity Theft in Long-Term Care

By Timothy Powell, CPA CHCP
There are resources available to help prevent wrongdoers from successfully targeting vulnerable patient populations. A dirty little secret of the long-term care industry is that the problem of identity theft arises more often than is reported.  In all fraud, there is the fraud triangle. The triangle sides are pressure, opportunity,…
October 17, 2019

Depression Diagnosis Can Raise Nursing Home Rates

By Timothy Powell, CPA CHCP
Therapy hours could go down and depression to go up at SNFs. A depression diagnosis is often hard to make. Clinical depression can be demonstrated in many ways and requires the subjective findings of a clinician. Some clinically depressed individuals seem to withdraw, while others can become irritable or even…