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DALLAS—October 8, 2020 — CorroHealth expands its Clinical Revenue Integrity solutions with the purchase of the analytics platform and review solutions from TCP Services and Analytics (“TCP”). A combination of artificial intelligence (“AI”) capabilities and physician-led quality reviews enhances the reimbursement cycle solutions from CorroHealth.
DALLAS—Sept. 30, 2020—Four healthcare services and technology organizations have launched under a combined brand —CorroHealth. CorroHealth, Visionary RCM, T-System and RevCycle+ joined forces to provide a greater breadth of reimbursement cycle, risk adjustment and quality solutions to health systems and payers. Global investment firm The Carlyle Group (NASDAQ: CG) owns a majority stake in CorroHealth, with Cannae Holdings, Inc. (NYSE: CNNE), Sanaka Group, and affiliates of TripleTree Holdings also serving as investors.
These waivers, known as 1135 waivers (due to being granted by Section 1135 of the Social Security Act), are allowed when 2 conditions are met: First, there must be a declaration of a Public Health Emergency (PHE) by the Secretary of the Department of Health and Human...
Five hospital outpatient department (OPD) services will require prior authorization when provided on or after July 1, 2020. These services include: Blepharoplasty Botulinum toxin injections Panniculectomy Rhinoplasty Vein ablation What is prior authorization as it...
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) issued separate announcements last week that I think will interest you. HHS Updates HHS announced two additional distributions from the Coronavirus Aid,...
The $2 trillion Coronavirus Aid, Relief, and Economic Security (CARES) Act includes more than $100 billion in aid in a Provider Relief Fund for healthcare organizations. In recent weeks, the Department of Health and Human Services (HHS) has issued guidelines on how...
Blanket Waiver of the Utilization Review Standards of the Condition of Participation Does NOT Waive Beneficiary Rights & Condition Code 44 Billing Requirements! Last week, the Centers for Medicare and Medicaid Services (CMS) waived “the entire utilization...
By Jerilyn Morrissey, MD and Jay Ahlmer, CFA As COVID-19 case volumes continue to grow and hospitals prepare for an anticipated patient surge, the stress on healthcare facilities to weather an unprecedented health and financial crisis has skyrocketed. While the $2...
Versalus Health’s Comments on CMS’ Waivers to Utilization Review Conditions of Participation On March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) published additional blanket waivers in response to the COVID-19 pandemic. There are a number of...
COVID-19-Related Considerations When Determining Medicare & Medicare Advantage Admission Status 1. Public Health Emergency Declarations As utilization review and compliance experts within your hospitals, it is imperative that you understand the impact that waivers...
DALLAS—October 8, 2020 — CorroHealth expands its Clinical Revenue Integrity solutions with the purchase of the analytics platform and review solutions from TCP Services and Analytics (“TCP”). A combination of artificial intelligence (“AI”) capabilities and physician-led quality reviews enhances the reimbursement cycle solutions from CorroHealth.
DALLAS—Sept. 30, 2020—Four healthcare services and technology organizations have launched under a combined brand —CorroHealth. CorroHealth, Visionary RCM, T-System and RevCycle+ joined forces to provide a greater breadth of reimbursement cycle, risk adjustment and quality solutions to health systems and payers. Global investment firm The Carlyle Group (NASDAQ: CG) owns a majority stake in CorroHealth, with Cannae Holdings, Inc. (NYSE: CNNE), Sanaka Group, and affiliates of TripleTree Holdings also serving as investors.
These waivers, known as 1135 waivers (due to being granted by Section 1135 of the Social Security Act), are allowed when 2 conditions are met: First, there must be a declaration of a Public Health Emergency (PHE) by the Secretary of the Department of Health and Human...
Five hospital outpatient department (OPD) services will require prior authorization when provided on or after July 1, 2020. These services include: Blepharoplasty Botulinum toxin injections Panniculectomy Rhinoplasty Vein ablation What is prior authorization as it...
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) issued separate announcements last week that I think will interest you. HHS Updates HHS announced two additional distributions from the Coronavirus Aid,...
The $2 trillion Coronavirus Aid, Relief, and Economic Security (CARES) Act includes more than $100 billion in aid in a Provider Relief Fund for healthcare organizations. In recent weeks, the Department of Health and Human Services (HHS) has issued guidelines on how...
Blanket Waiver of the Utilization Review Standards of the Condition of Participation Does NOT Waive Beneficiary Rights & Condition Code 44 Billing Requirements! Last week, the Centers for Medicare and Medicaid Services (CMS) waived “the entire utilization...
By Jerilyn Morrissey, MD and Jay Ahlmer, CFA As COVID-19 case volumes continue to grow and hospitals prepare for an anticipated patient surge, the stress on healthcare facilities to weather an unprecedented health and financial crisis has skyrocketed. While the $2...
Versalus Health’s Comments on CMS’ Waivers to Utilization Review Conditions of Participation On March 30, 2020, the Centers for Medicare and Medicaid Services (CMS) published additional blanket waivers in response to the COVID-19 pandemic. There are a number of...
COVID-19-Related Considerations When Determining Medicare & Medicare Advantage Admission Status 1. Public Health Emergency Declarations As utilization review and compliance experts within your hospitals, it is imperative that you understand the impact that waivers...
What AI Really Means for Clinical Documentation Integrity Clinical documentation has long been one of the most demanding and consequential tasks in healthcare. But recently, artificial intelligence (AI) has begun to change that reality. What once required arduous...
CMS Fiscal Year 2026 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule CMS-1833-F Overview On July 31, 2025 CMS released the Fiscal Year 2026 Hospital Inpatient Prospective Payment System...
CMS Transitions Short Stay Inpatient Reviews From the QIO to the TPE MACs September 1, 2025 Overview On May 22, 2025, CMS announced that the short stay inpatient hospital medical reviews will be transitioning from The Beneficiary and Family Centered Care (BFCC)...
