Pinnacle's Blog & Publications

  • Evaluation and Management Office/Clinic Visit Documentation Detour: A Bumpy Road Ahead (Medicare and Medicaid)

    Posted On: March 30, 2021
    Author: Kelly Loya

    Autumn Hull and Kelly Loya published an article for the MiMGMA Spring 2021 Newsletter.

    MiMGMA March Spring 2021 Newsletter

    Continue Reading >
  • March 2021 Real Estate Newsletter

    Posted On: March 10, 2021

    Healthcare Real Estate Transactions and New Construction

    53-Acre Life Sciences District in Houston Scheduled to Break Ground.  Hines and 2M Real Estate are scheduled to break ground and begin construction on a five-story, 270,000 square foot advanced laboratory and life sciences building in the Texas Medical Center of Houston.  The first phase of Levit green, a life sciences mixed-use project, includes a 25,000 square foot incubator lab and office space for entrepreneurs and startups, as well as several lakes, a boardwalk, fitness center, outdoor garden, 7,000 square foot conference center, and 3,500 square feet of restaurant space.

    Remedy Medical Properties Completes Development ...

    Continue Reading >
  • True Telehealth vs. Telephone Services

    Posted On: March 8, 2021
    True Telehealth vs. Telephone Services
    Continue Reading >
  • Social Determinants of Health (SDOH)

    Posted On: March 3, 2021
    Social Determinants of Health (SDOH)
    Continue Reading >
  • Managing Corporate Compliance in “Hybrid” Healthcare Organizations

    Posted On: February 25, 2021
    Managing Corporate Compliance in “Hybrid” Healthcare Organizations
    Continue Reading >
  • Managing Corporate Compliance in ‘Hybrid’ Healthcare Organizations

    Posted On: February 25, 2021

    Establishing an effective corporate compliance program, then managing and maintaining the program, is a complex and often difficult proposition for the traditional health care provider or health system.  When the health system is part of a “hybrid” organization, those tasks amplify in complexity to connect traditional care delivery to a completely parallel concept business workflow.  While business and health care compliance have underlying principal similarities to ‘always do the right thing’ regardless of the service being delivered, compliance needs for the health care delivery business component can be vastly different from the needs of the business entity.  In some cases, ...

    Continue Reading >
  • Six Things Every Rural Hospital CEO Must Do: Part Six

    Posted On: February 16, 2021

    Rural hospitals are closing at a record pace, and many of the reasons why could have been avoided.

     

    By Robert Thorn, MBA, FACHE

    Director, Pinnacle Healthcare Consulting

    Last week, in Part Five of this six-part series on “we examined Topic #5, Telepharmacy.  This week, in Part Six, we examine Board Education, and how being accountable for care in a community requires the ability to make informed decisions.

    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 whom I was working.  Once each ...

    Continue Reading >
  • Evaluation and Management Office/Clinic Visit Documentation Detour: A Bumpy Road Ahead (Medicare and Medicaid)

    Posted On: February 9, 2021

    Change is frequently difficult; however, without it, progress is stifled.  As part of the Medicare Physician Fee Schedule Final Rule, in 2019 The Centers for Medicare and Medicaid Services (“CMS”) announced significant revisions are coming for reporting physician time and effort as it pertains to office / outpatient Evaluation and Management (“E/M”) visit services.  These changes are tied to the 2018 ‘Patients over Paperwork’ initiative and they bring the biggest shift in documentation and reporting visit services since the early 1990s.  Below we will discuss these changes and how to manage the necessary adjustments.

    The COVID-19 public health emergency (“PHE”) took ...

    Continue Reading >
  • Six Things Every Rural Hospital CEO Must Do: Part Five

    Posted On: February 8, 2021

    Rural hospitals are closing at a record pace, and many of the reasons why could have been avoided.

     

    By Robert Thorn, MBA, FACHE

    Director, Pinnacle Healthcare Consulting

     

    Last week, in Part Four of this six-part series on “Six Things Every Rural Hospital CEO Must Do,” we examined Topic #4, Telehealth.  This week, in Part Five, we will look at Telepharmacy and how it can become a routine and relied-upon part of rural healthcare.

    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 ...

    Continue Reading >
  • Six Things Every Rural Hospital CEO Must Do: Part Four

    Posted On: February 1, 2021

    Rural hospitals are closing at a record pace, and many of the reasons why could have been avoided.

     

    By Robert Thorn, MBA, FACHE

    Director, Pinnacle Healthcare Consulting

     

    Last week, in Part Three of this six-part series on “Six Things Every Rural Hospital CEO Must Do,” we examined Topic #3, Strategic Planning.  This week, in Part Four, we will look at Telehealth, how it has become more commonplace due to the COVID-19 pandemic, and how it can remain a routine and relied-upon part of rural healthcare.

    Part Four: Telehealth

    With the introduction of COVID-19 into our world, providers have been scrambling to develop ...

    Continue Reading >


Meet the Authors

Karen Pickering

RHIT, CCS

Senior Consultant


Stay Connected