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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...
9 / 21 / 2022

Smart Pricing of Cervical Stand-Alone Devices

By
John Ossowski &
Andrew Arreola
&
Today’s vendors now offer specific implant technology that can no longer be categorized into a single specific implant classification. For example, a cervical spacer used to be just a cervical...
9 / 8 / 2022

CMS Releases PY 2021 Financial and Quality MSSP Numbers

By
Daniela Yusufbekova &
Kelly Conroy
On Tuesday, August 30th, officials at the Centers for Medicare & Medicaid Services (CMS) released the latest financial and quality results for the Medicare Shared Savings Program (MSSP) performance year...
8 / 30 / 2022

Using Implant Data to Facilitate Surgeon Engagement

By
John Ossowski &
Andrew Arreola
&
Engaging surgeons to assist in contracting for their implants has long been a challenge for most hospitals. Historical feedback from surgeons ranges from “it’s not my problem” to “I’ll just...
8 / 25 / 2022

PHC 2nd Quarter 2022 Real Estate Newsletter

By
Mike Vandaveer
& G. Christopher Louis
&
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 guide...