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3 / 21 / 2024

March is Kidney Awareness Month!

Introduction March is Kidney Awareness Month, and Pinnacle wants to share updates regarding the new conversion from v24 to v28.  What better way to celebrate than to brush up...
3 / 19 / 2024

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

By
Lori Carlin &
Angela Wood
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 &
Angela Wood
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 / 8 / 2024

2024 Final Rule Part Three: Caregiver Training Services

By
Angela Wood
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 / 17 / 2024

Responsible AI in Healthcare: Ethical Considerations While Navigating the Moral Maze

By
Zach Maher &
John P. Carter
Introduction In the labyrinthine world of healthcare, Artificial Intelligence (AI) is the Minotaur that promises both mighty solutions and moral conundrums. But before tackling these head-on, let’s take a...
12 / 20 / 2023

Social Determinants of Health (SDoH): What You Need to Know Moving into 2024!

By
Amy Crenshaw-Pritchett
As we all know, until the release of the 2024 Physician Fee Schedule Final Rule on November 2, 2023; SDoH assessments were “voluntary” reporting measures for the Centers for...
10 / 19 / 2023

The How, Why, and Who: Capturing Social Determinants of Health (SDoH)

By
Amy Crenshaw-Pritchett
The Centers for Medicare and Medicaid Services (CMS) issued the FY 2023 Final Rule, which required hospitals to report the new Inpatient Quality Reporting (IQR) program to submit two...
10 / 12 / 2023

Teaching Physician Basics

By
Jessica Sullivan
Some facilities allow for a medical graduate training program where residents and medical students can participate in the care of patients under the direction of a licensed attending physician...