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4 / 7 / 2025

Early Involvement of Regulatory and Quality of Systems Expertise in Financial Transactions

By David White & Drew Hoffman
Introduction and Value Managing risk and uncertainty in the world of investment is a critical advantage. Investing in the medical device industry offers tremendous potential for returns, driven by constant...
3 / 12 / 2025

Are You Leaving Money on the Table? How to Strengthen Contract Negotiations

By Kelly Conroy, Daniela Yusufbekova & Maria Nikol
Many healthcare providers are facing growing financial pressures, questioning whether they are being fairly compensated for the care they provide. How can you be certain your current reimbursement rates are...
12 / 3 / 2024

The Role of Telemedicine in Provider Compensation Models

By Kelly Loya & Carey Lowe-Curry
Telemedicine: The Evolution of Virtual Services and Impact on Provider Compensation Traditionally, seeing a doctor when you’re unwell has been anything but convenient. It often involves taking time off work,...
11 / 12 / 2024

The Future of Physician Compensation: Trends to Watch

By Jana Sizemore, Anisha Coimbatore & Allison Carty
Additional Contributor: Allison Carty, Pinnacle Healthcare Consulting    Introduction The process of structuring physician compensation is undergoing a meaningful and significant transformation. Traditional models that have long prioritized volume and...
4 / 17 / 2024

National Correct Coding Initiative (“NCCI”) Manual: Bonus Article – Billing Bilateral Procedures

By Lori Carlin
If you have questions about how to properly bill Medicare for bilateral procedures, the National Correct Coding Initiative (“NCCI”) policy manual has your answers. Starting on page 30 of...
4 / 3 / 2024

National Correct Coding Initiative (“NCCI”) Manual: Part Three – Add-On Code Edits

By Lori Carlin
In this series of articles on the National Correct Coding Initiative (“NCCI”) Policy Manual, we have discussed procedure to procedure (“PTP”) edits and medically unlikely edits (“MUE”), but were...
3 / 26 / 2024

National Correct Coding Initiative (“NCCI”) Manual: Part Two – Medically Unlikely Edits

By Lori Carlin
In part one we discussed procedure to procedure (“PTP”) edits. In this article we will discuss Medically Unlikely Edits (“MUEs”). The Centers for Medicare and Medicaid Services (“CMS”) defines...
3 / 19 / 2024

National Correct Coding Initiative (“NCCI”) Manual: Part One – Procedure to Procedure Edits

By Lori Carlin
In the introduction, we discussed the three (3) edit types that make up the National Correct Coding Initiative (“NCCI”). Probably the most familiar of those edits are the procedure...
3 / 14 / 2024

National Correct Coding Initiative (“NCCI”) Manual: The Ultimate Medicare Billing Toolkit

By Lori Carlin
One of the best resources we frequently recommend to providers is the National Correct Coding Initiative (“NCCI”) policy manual. It is like using a crystal ball to peer into...
3 / 5 / 2024

PHC 1st Quarter 2024 Real Estate Newsletter

By Mike Vandaveer
Healthcare Real Estate Transactions Jackson Health Confirms $90 Million Expansion. Jackson Health System has selected Skanska USA as the contractor to complete a $90 million renovation and expansion project that...