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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...
2 / 15 / 2024

2024 Final Rule Part Four: Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)

By Alysia Delozier
The Centers for Medicare and Medicaid Services (CMS) included some changes related to RHCs and FQHCs in the 2024 Final Rule. As referenced in our second article, CMS will...
2 / 8 / 2024

2024 Final Rule Part Three: Caregiver Training Services

Effective January 1, 2024, the Centers for Medicare and Medicaid Services (“CMS”) established an active payment status for CPT codes 96202 and 96203 (caregiver behavior management/modification training services) and...
2 / 1 / 2024

2024 Final Rule Part Two: Behavioral Health Services

By Alysia Delozier
The 2024 Medicare Physician Fee Schedule Final Rule revealed some great advancements in behavioral health services and how CMS will allow them to be billed.  We will highlight some...
1 / 25 / 2024

2024 Final Rule Part One: Split (or Shared) Evaluation and Management (“E/M”) Visits

According to the Centers for Medicare and Medicaid Services (“CMS”), Medicare Physician Fee Schedule Final Rule: “Split (or shared) E/M visits refer to visits provided in part by physicians...
5 / 27 / 2022

Breaking Down the Valuation of Physician Call Coverage: Trends, Challenges, Critical Elements, and the Future

By Christopher Fete, David White & Drew Hoffman
Abstract – Paying for call coverage is not just tied to trauma centers – every type of hospital is now working to secure physician coverage after hours, weekends, and holidays.  As...
2 / 16 / 2021

Six Things Every Rural Hospital CEO Must Do: Part Six

Part Six: Board Education I once had the opportunity to hear a legendary, now since-retired hospital CEO-turned-university professor give a presentation to a group of Critical Access Hospital boards with...
2 / 8 / 2021

Six Things Every Rural Hospital CEO Must Do: Part Five

Part Five: Telepharmacy As I travel to rural communities and learn more about how they operate, one constant challenge I see is related to in-house pharmacies for Critical Access Hospitals...
2 / 1 / 2021

Six Things Every Rural Hospital CEO Must Do: Part Four

Part Four: Telehealth With the introduction of COVID-19 into our world, providers have been scrambling to develop alternatives to people coming into the office to be seen.  The government cleared...