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2025 IPPS Compliance

Key Takeaways for 2025 IPPS Compliance Requirements for PI and eCQMs In the rapidly evolving world of healthcare, it’s important for organizations to stay compliant with Centers for Medicare & Medicaid Services (CMS) requirements. Non-compliance can lead to significant financial penalties — some hospitals have seen a 9% reduction in reimbursement. This guide provides insights

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Medicare and ACA Open Enrollment for Health Clinics: What You Need to Know

ACA and Medicare Open Enrollment for Clinics

ACA and Medicare Open Enrollment for Clinics As a health clinic, understanding Medicare and Affordable Care Act (ACA) open enrollment is crucial for helping your patients secure the healthcare coverage they need. By being familiar with key dates, eligibility criteria, and various plan options, your practice can effectively guide patients to the right coverage. Let’s

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Doctors and Nurses outside a Rural Emergency Hospital

Navigating the New Frontier of Rural Emergency Hospitals

Navigating the New Frontier of Rural Emergency Hospitals Rural healthcare is undergoing a transformation, thanks to recent changes in guidance from the Centers for Medicare & Medicaid Services (CMS). On September 6th, 2024, CMS released revised guidance designed to assist hospitals that may be considering the Rural Emergency Hospital (REH) enrollment and conversion process. This

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Documentation - Revenue Cycle Management's Achilles Heel

Documentation: Revenue Cycle Management’s Achilles Heel

Key Takeaways on Documentation as the Achilles’ Heel of Revenue Cycle Management In the world of healthcare, documentation is more than just paperwork; it’s the backbone of revenue cycle management (RCM). Without it, a healthcare system is like a car without fuel—unable to move forward. For billers, healthcare administrators, and compliance officers, effective documentation is

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CMS Proposed Policy Changes affecting RHC’s in CY2025

CMS Proposed Policy Changes affecting RHC’s in CY2025 The information in this post was published in July 2024 and covers proposed policy changes. For the most up-to-date details, click here to read about the CMS Final Rule for 2025. As of July 10, 2024 the Centers for Medicare and Medicaid Services (CMS) announced proposed policy

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How to Use Analytics to Increase Patient Volume

Key Takeaways to Use Analytics to Increase Patient Volume Understanding the Power of Analytics in Healthcare Increasing patient volume is critical for the sustainability and growth of your practice. Leveraging analytics can be a game-changer, offering insightful data that helps optimize operations, improve patient care, and enhance marketing strategies. This post will guide you through

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