Long-Term Care Facilities COVID-19 Preparation

Since the first nursing home case in Kirkland, Washington, 147 skilled nursing facilities in 27 states have at least one resident with COVID-19, according to data recently released by the Centers for Medicare and Medicaid Services (CMS). While every year seems to bring challenges for the providers to care for their residents, COVID-19 has quickly [...]

2020-03-27T16:47:45-04:00March 27th, 2020|COVID-19, HEALTHCARE|

Insurance Policyholder Considerations for COVID-19

The effects of the COVID-19 virus are only beginning to be felt within our communities and across the nation. Both business leaders and employees are looking for answers to difficult questions as we work to control both the spread of the virus and the economic effects after its curtailment, resulting in significant insurance policyholder considerations [...]

Best Practices for Non-Acute Care Entities During COVID-19 Disruption

The effects of COVID-19 have been widespread, devastating, and extremely rapid across the global economy. One of the most affected segments is healthcare. While acute care facilities (hospitals, skilled nursing, etc.) are required to deal with tremendous volume, despite lack of staffing and resources, the remainder of the healthcare spectrum, namely non-acute care providers, are often [...]

2020-03-26T01:19:57-04:00March 26th, 2020|COVID-19, HEALTHCARE|

Proposed Healthcare Economic Relief for Rural Facilities and Providers

Three members of the US Senate (two Democrats and one Republican) have recently proposed the Immediate Relief for Rural Facilities and Providers Act. This is primarily a hospital event. While simply a proposal, it is important to understand the provisions, as some (or all) of these measures may eventually make their way into law, in some [...]

2020-03-25T04:06:25-04:00March 24th, 2020|COVID-19, HEALTHCARE|

Phase 3 Stimulus Bill Provisions for Healthcare

Updated March 26, 2020 Congress has passed the Phase 3 Stimulus Bill, which is unprecedented in recent years in terms of the dollars to be expended and the scope of the legislation. The following are a few key provisions of the bill that are relevant to healthcare providers. All Healthcare Providers: Elimination of the 2% [...]

2020-03-26T17:45:05-04:00March 23rd, 2020|COVID-19, HEALTHCARE|

Key Factors that Drive Reimbursement in the PDPM Model

PDPM or Patient-Driven Payment Model is the new Medicare reimbursement system. It introduces a number of changes compared to the historical RUG-IV model. It is designed to address each patient’s unique needs independently and encourages more specialized, patient-driven care.   Under PDPM, each patient is classified into a group of each of the five case-mix [...]

2019-12-06T13:20:57-05:00December 6th, 2019|HEALTHCARE|

Healthcare Data Breach: You Could Be Ripe for the Picking

Hospitals and health systems across the country have increasingly reported sophisticated malware attacks, many of which seem to originate from groups in Russia, China, and eastern Europe. These attacks generally fall into one of two broad categories. The first is an intent by the criminals to obtain names, addresses, and social security numbers of patients, [...]

2019-11-18T21:43:14-05:00November 18th, 2019|HEALTHCARE|

Helpful Tips for Completing Medicare Cost Reports

If you have ever looked at a Medicare Cost Report (MCR), you likely cringe at the thought of having to fill out copious amounts of forms and data. If the sheer volume doesn’t faze you, the pressure to produce a comprehensive and entirely accurate report is enough to make most healthcare providers a little uneasy. [...]

2019-11-15T10:15:56-05:00October 29th, 2019|HEALTHCARE|

Achieving a Five-Star Quality Rating for Your Nursing Home

Long-term care facilities are also in constant pursuit of a much-desired five-star rating. The Centers for Medicare & Medicaid Services (CMS) developed the Five-Star Quality Rating System as a tool for consumers to compare nursing homes and make better-informed decisions. Consumers can visit the Medicare Nursing Home Compare website to research the ratings for different facilities in their area. Facilities earn [...]

2019-12-26T16:29:27-05:00September 12th, 2019|HEALTHCARE|

Impact of the New Revenue Recognition Standard on the Healthcare Industry

The Financial Accounting Standards Board (FASB) issued ASC 606, Revenues from Contracts with Customers, which replaced all previously-existing guidance and created a new model for recognizing revenues from transactions with customers (or patients). Healthcare providers are unique in the accounting world in many ways, most notably for the complexities surrounding the revenue cycle (billing and [...]

2019-10-01T10:25:26-04:00September 11th, 2019|HEALTHCARE|

Improve Patient Accounts Receivable and Keep Cash Flowing into Your Medical Practice

As healthcare reimbursements continue to decrease and the responsibility of healthcare costs shift to patients, medical practices must properly manage and improve patient accounts receivable to keep cash flowing. Many employers are moving away from traditional health insurance plans as employer insurance costs continue to rise. High deductible health plans (HDHP) offer lower premiums to [...]

2019-09-04T14:02:09-04:00September 4th, 2019|HEALTHCARE|

New Opportunities Arise if Hospitals Embrace Pricing Transparency

In a sweeping effort aimed at empowering consumers (patients), hospitals are now required by the federal government to post their standard service costs online. This new transparency rule seeks to provide the public with a more traditional consumer experience, unveiling more information for patients to consider when making critical healthcare decisions.  But, the question is, [...]

2019-08-30T11:48:23-04:00August 30th, 2019|HEALTHCARE|

Four Steps to Facilitate Medical Practice Strategic Planning

With today's rapidly changing healthcare environment, physicians must spend time working on, not just in, their practices. Medical practice strategic planning can be a challenge, but analyzing the practice’s current standing and deliberately forecasting for future endeavors can be the equivalent of a hole-in-one for a medical practice. Step 1: Evaluate the current competitive market.  [...]

2019-09-03T12:12:20-04:00August 12th, 2019|HEALTHCARE|

Medicare Wage Index

The CMS “wage index” remains a vital (and controversial) component of how hospitals receive payment for services to Medicare beneficiaries. CMS recognizes that labor costs vary from one area to the next. So, as a part of the methodology for determining IPPS (inpatient prospective payment) reimbursement, standardized amounts are adjusted for area differences in facilities’ [...]

2019-08-14T11:53:56-04:00July 26th, 2019|HEALTHCARE|

Five Steps to Lift Self Pay Patient Collections in Medical Practices

Self pay patients were once a small percentage of a medical practice’s patient mix. However, in today’s market, the number of self pay patients is rising due to increases in health plan costs and the number of high-deductible healthcare plans. Medical practices can elevate self pay patient collections by implementing the below five steps. 1. [...]

2019-09-03T15:01:28-04:00July 9th, 2019|HEALTHCARE|

Nursing Home ACA PBJ Reporting

Nursing Home ACA PBJ Reporting While peanut butter and jelly sandwiches are not mentioned in the Patient Protection and Affordable Care Act (ACA), almost everyone knows that individual and employer sponsored health insurance mandates are. However, many people often do not realize that many other healthcare areas are addressed, as well. Nursing homes are now [...]

2019-12-26T16:23:34-05:00June 9th, 2019|HEALTHCARE, HEALTHCARE NEWS FLASH|

How to Arrange a Medical Practice Buy-Sell Agreement that Minimizes Disputes

Many medical practices are seeing an influx of new patients in the wake of healthcare reform. Some practices may respond to this influx by adding more physicians to their staffs. Recruiting and retaining physicians requires the skill of a conductor to keep all areas of the practice playing in unison. Just as a musician needs [...]

2019-09-03T12:01:04-04:00March 18th, 2019|HEALTHCARE|

Build Medical Practice Productivity with Non-Physician Providers

Every healthcare practitioner should work at the top of his or her license. That’s why non-physician providers - or NPPs - are essential to medical practice productivity. NPPs include nurse practitioners, nurse midwives, physician assistants, and physical therapists. These providers possess a skill set along the clinical continuum between registered nurses and doctors. Create a [...]

2019-09-03T16:11:24-04:00March 15th, 2019|HEALTHCARE|

Captive Insurance Overview: Healthcare Provider Industry Highlights

Healthcare provider captive insurance arrangements represent approximately 15% of the global captive insurance market and are currently one of the largest growing sectors within the captive industry due to the changing risk landscape that healthcare organizations are facing. Approximately 75% of hospitals now have some form of alternative risk management in place for their professional [...]

2019-08-14T11:52:08-04:00March 15th, 2019|CAPTIVE INSURANCE, HEALTHCARE|

Medical Practice Profitability

How can you create medical practice profitability? They can begin targeting sound financial management practices and patient growth strategies that improve overall practice efficiencies. Pinpoint Financial Management Create a budget by checking the previous 12-month financial statement and then setting revenue and expense goals. The budget should include physician compensation and every line item. Scrutinize [...]

2019-09-03T13:46:05-04:00March 9th, 2019|HEALTHCARE|