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9 / 14 / 2023

Decoding 2024 ICD-10 CM Changes: A Four-Part Series

By
Amy Crenshaw-Pritchett
Pinnacle is conducting a four-part series to delve into the upcoming 2024 ICD-10 CM code changes and break them down chapter by chapter.  On June 16, 2023, The Centers...
9 / 7 / 2023

CMS Proposes Significant Changes to the Medicare Shared Savings Program for 2024 – How will they affect ACOs? A Three-Part Blog Series

By
Kelly Conroy &
Daniela Yusufbekova
The Centers for Medicare & Medicaid Services (CMS) has put forth a proposed rule that outlines significant changes to the Medicare Shared Savings Program (Shared Savings Program) for the...
8 / 23 / 2023

PHC August 2023 Real Estate Practice Newsletter

By
Mike Vandaveer
Healthcare Real Estate Transactions Mountain Point Medical Center – Salt Lake City, UT.  JLL Capital Markets, Medical Properties Group announced the sale of Mountain Point Medical Center, a 60,000 square...
8 / 10 / 2023

CMS Proposes Expanded Coverage for Carotid Artery Stenting (“CAS”)

By
Amy Crenshaw-Pritchett
Traditionally, carotid endarterectomy has been the primary method of treating high-grade asymptomatic and symptomatic carotid artery stenosis. However, a minimally invasive technique known as carotid artery stenting (“CAS”) has...
8 / 8 / 2023

Telehealth Changes After Public Health Emergency

By
Lori Carlin
COVID-19 public health emergency (PHE) ended on May 11, 2023. Medicare’s coverage of telehealth for outpatient services will be extended through the end of 2024. Patients may continue to...
8 / 3 / 2023

Mental Health Changes V24 to V28

By
Amy Crenshaw-Pritchett
While mental health awareness month occurred in May, we need not forget the upcoming changes to Medicare Advantage members in CY 2024 and beyond. On March 31, 2023, The...
8 / 3 / 2023

Proposed Rule Summary of Topics and Interesting Points: Physician Fee Schedule 2024

By
Kelly Loya &
Lori Carlin &
Amy Crenshaw-Pritchett
Pinnacle has reviewed the proposed rule changes for CY2024 related to the Medicare Physician Fee schedule.  CMS has also published a fifteen (15) fact-sheet summary.  The condensed overview below...
6 / 26 / 2023

Modifier 25: Is Your Documentation Up to Par?

By
Lori Carlin
Modifier 25 Scenarios Is your documentation up to par to support Modifier 25? First, you should read The Center for Medicare and Medicaid Services (CMS) National Correct Coding Initiative...
6 / 14 / 2023

As CMS Focuses on Quality, there are Monumental Changes to Reimbursement for Quality on the Horizon!

By
Amy Crenshaw-Pritchett
The Centers for Medicare and Medicaid Services (“CMS”) utilize risk adjustment factors to estimate the cost of Medicare Advantage (“MA”) beneficiaries and those associated costs of providing care.  Risk...
3 / 14 / 2023

Tele-Nephrology – The Future is Now

By
David White
In recent years, the healthcare industry has seen a surge in the use of telehealth services, and nephrology is no exception. Remote nephrology, or tele-nephrology, involves the use of...