Pinnacle's Blog & Publications
Battle, Balance, and Benefits – New 2021 Evaluation and Management Guidelines
Posted On: January 4, 2021Continue Reading >Beginning January 1, 2021, the new Centers for Medicare and Medicaid Services (“CMS”) Evaluation and Management (“E/M”) guidelines will take effect for Office and Other Outpatient codes *99202-99205 and 99212-99215. Assignment of these codes will now be determined based on medical decision making (“MDM”) or time. The need for an extended history and / or exam to support code assignment is eliminated. The documentation of an appropriate history and examination is left to the performing provider’s judgement. In this article, a comparison of the old vs. new guidelines for establishing medical decision making will be discussed, compared, and contrasted. The ...
PHC November 2020 Real Estate Practice Newsletter
Posted On: December 8, 2020Author: Allison LaytonContinue Reading >Pinnacle Healthcare Consulting (PHC) has access to a wide amount of data and has provided commercial real estate appraisals confirming Fair Market Value on healthcare properties across the country. We are expanding Pinnacle’s real estate services to include consulting for lease restructuring, development projects, and consulting for real estate transactions within the healthcare industry. Our November 2020 newsletter provides an update and information on the real estate market and recent transactions.
Reference Guide: 2021 E/M Updates
Posted On: October 14, 2020Reference Guide: 2021 E/M UpdatesContinue Reading >PHC June 2020 COVID-19 Real Estate Practice Newsletter
Posted On: July 1, 2020Continue Reading >PHC June 2020 COVID-19 Real Estate Practice Newsletter
This Real Estate Practice Newsletter covers market activity and trends in certain regional market areas. Today is a brave, new world for the
The PHC real estate group has complied articles via various sources such as CoStar, JLL, and Cushman & Wakefield that summarize expectations and performance during this period.
6/20/2020
CoStar commercial repeat sales indexes provided a first look at commercial real estate pricing trends based on 831 repeat sale pairs in the first quarter and more than 225,707 repeat sales since 1996. CoStar monitors ...
Posted by: Zach Stephens – 5th Circuit Decision on Materiality
Posted On: April 30, 2020Continue Reading >News you can use….
Fifth Circuit Affirms Dismissal of Qui Tam Complaint Due to Lack of Materiality in Significant False Claims Act Decision
The U.S. Court of Appeals for the Fifth Circuit affirmed on April 15, 2020 the dismissal of a non-intervened qui tam action in United States ex rel. Porter v. Magnolia Health Plan1, because the relator failed to adequately allege that the defendant’s purported misrepresentations were “material” to the government’s payment decision. The health plan had a blanket statement regarding regulatory compliance and the court also took into consideration the fact that the health plan continued to renew their ...