9 / 7 / 2023
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 / 31 / 2023
Abstract On May 15, 2023, Envision Healthcare Corp. (“Envision”) announced that it and several of its subsidiaries had filed voluntary petitions for reorganization under Chapter 11 of the United...
8 / 23 / 2023
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
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
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
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
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...
8 / 1 / 2023
In a time where healthcare costs continue to rise, there is a diverse range of payment models in use, ranging from traditional fee-for-service to global capitated payment, to stunt...
6 / 26 / 2023
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 / 21 / 2023
1. What is a split/shared service? This term refers to evaluation and management services that are performed partly by a physician and partly by a non-physician practitioner (NPP) who...