Strategic and programmatic approach to transform team performance
Align critical metrics to your revenue goals
Proprietary data-driven review program to optimize patient admission status
We defend your patient care choices to secure fair reimbursement
Root-cause analysis and strategy to combat payer tactics
Integrated Teams for Improved Outcomes in Hospital OperationsAligning clinical and financial teams in hospitals is now central to effective revenue cycle management. Documentation, coding, and financial outcomes no longer sit in separate operational lanes. Each...
Reimbursement Is Changing. Alignment Will Decide What WorksThe future of healthcare reimbursement is being driven less by any single policy and more by mounting pressures across the system. Costs keep rising, administrative complexity remains high, and patients bear...
New CMMI Models Signal a Structural Shift for HospitalsThe Centers for Medicare and Medicaid Innovation (CMMI) is reshaping how hospitals are paid, evaluated, and held accountable. The latest generation of payment models extends beyond incremental updates, increasing...
By Angela Sorbelli, J.D., LL.M, MBA, CHC On April 7, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a Press Release detailing the beginning of the phase-out activity for the temporary emergency waivers that have been in effect since the beginning...
he United States has been in a state of Public Health Emergency (PHE) due to the coronavirus pandemic since January 2020. Section 319 of the Public Health Services (PHS) Act grants the authority to declare and re-evaluate the need for the PHE to the Secretary of Health and Human Services, who reviews the emergency declaration every 90-days and determines whether an extension is warranted.
Overview In a late 2021 legislative session, Congressional activity resulted in a little bit of breathing room for hospitals after the New Year. In a bipartisan vote by Senate late last week, legislation was passed that mitigates nearly 10% Medicare reimbursement cuts...
