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5 / 3 / 2023

Non-Compete Contracting in Healthcare: Potential Impact on Physician Contracting and Alignment

By
David White
Introduction A covenant not to compete (a.k.a. a non-compete agreement) is a contract or clause in a contract specifying that an employee or contractor (often through a professional services...
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...
2 / 22 / 2023

PHC 3rd Quarter 2022 Real Estate Newsletter

By
Mike Vandaveer
The Pinnacle Real Estate Group consists of a combination of professionals who use their extensive experience in both valuation and transaction services within the healthcare real estate industry to...
2 / 21 / 2023

CMS Changes ACO Application Cycle! Are You Ready?

By
Kelly Conroy &
Zach Maher &
Daniela Yusufbekova
The Centers for Medicare and Medicaid Services finalized changes to the 2023 ACO application cycle steps and timelines. After collectively submitting 50+ successful applications, Pinnacle is excited to continue...
2 / 16 / 2023

New ACO/VBC Changes Announced: What You Need to Know!

By
Kelly Conroy &
Zach Maher &
Daniela Yusufbekova
Our healthcare industry is undergoing a major transformation, with a focus on shifting from a fee-for-service model to a value-based model that prioritizes quality and outcomes over volume and cost....
1 / 26 / 2023

Sepsis Coding: How to Properly Code Sepsis

Introduction: Sepsis is a potentially life-threatening complication of an infection and occurs when chemicals released in the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation...
1 / 16 / 2023

Clinical Documentation Improvement: Are EMR Shortcuts Wreaking Havoc on Your Practice’s Documentation?

By
Angela Wood
As providers look for ways to document more efficiently, they are increasingly turning to technology-based shortcuts. Unfortunately, there are some pitfalls associated with relying on some electronic medical record (EMR)...
11 / 11 / 2022

Diagnosis Coding: When to Assign a Diagnosis for E/M Services

With the implementation of the AMA (American Medical Association) E/M (Evaluation and Management) documentation guidelines for office and outpatient visits in 2021 (and the pending 2023 E/M guideline changes for...
10 / 21 / 2022

Summary Of CMS Proposed Rule Changes For 2023

By
Anthony Long &
Jason Baldwin &
Lori Carlin
(Based on the July 7, 2022 Proposed Rule) Rate and Conversion Factors With the budget neutrality adjustments and the required statutory update to the conversion factor for CY 2023 of...
9 / 21 / 2022

Smart Pricing of Lumbar Stand-Alone Devices

By
John Ossowski &
Andrew Arreola
Today’s vendor technology is no longer siloed into a specific classification. For example, an ALIF (anterior lumbar interbody fusion) device used to be just an ALIF.  Today, that same ALIF...