Pinnacle's Blog & Publications
Medicare Physician Fee Schedule Changes – What Now?
Posted On: January 27, 2021Continue Reading >Director, Pinnacle Healthcare Consulting
Medicare Physician Fee Schedule Changes – What Now?
An Introduction…
As many in healthcare have been tracking, the Centers for Medicare & Medicaid Services (“CMS”) released the calendar year 2021 Medicare Physician Fee Schedule (“MPFS”) which contained key changes to evaluation and management (“E&M”) coding and documentation requirements. These changes will have substantial compliance, coding and documentation, reimbursement, and compensation plan administration implications, including a notable impact on organizations that compensate physicians on a productivity model. The question looms: how should organizations respond to the new rule? How is your organization responding?
Preliminary Observations ...
Six Things Every Rural Hospital CEO Must Do: Part Three
Posted On: January 26, 2021Continue Reading >Director, Pinnacle Healthcare Consulting
Last week, in Part Two of this six-part series on “Six Things Every Rural Hospital CEO Must Do,” we examined Topic #2, Physician Demand Analysis. This week, in Part Three, we will look at the need for a Strategic Plan, and why it is an important tool every rural hospital CEO should leverage.
Part Three: Strategic Planning
One of the most common practices I see in rural hospitals is using the budget as the organization’s strategic plan, whether intentionally or by default. However, for a budget to be truly effective, it should ...
PHC October 2020 Real Estate Practice Newsletter
Posted On: January 19, 2021 Continue Reading >Six Things Every Rural Hospital CEO Must Do: Part Two
Posted On: January 18, 2021Continue Reading >Rural hospitals are closing at a record pace, and many of the reasons why could have been avoided. This six-part, weekly series will identify critical steps CEOs can take to help keep their rural hospitals moving forward
Six Things Every Rural Hospital CEO Must Do: Part One
Posted On: January 13, 2021Continue Reading >Rural hospitals are closing at a record pace, and many of the reasons why could have been avoided. This six-part, weekly series will identify critical steps CEOs can take to help keep their rural hospitals moving forward
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.
