ICD-10 Aftershocks: The Challenges Every CFO Can Expect

By |October 28th, 2015|

If any individual in the C-suite will feel the effects of ICD-10 most prominently, it will be the hospital CFO. As reported in Becker’s Hospital Review, October 2015, in a article by Kelly Whittle, MS, Principal, ICD-1 0 Advisory and Whittle Advisors, LLC, the top 4 issues faced by hospital CFO will include.

Significant productivity loss […]

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New “X” Modifiers and Impact to UnitedHealthcare Commercial Reimbursement Policies

By |January 18th, 2015|

For information related the the New “X” Modifiers and Impact to UnitedHealthcare Commercial Reimbursement Policies, please see the January UnitedHealthcare Jan 2015 Network Bulletin.

Medicare Outreach Article – Modifier -59 Could Impact Reimbursement

By |January 6th, 2015|

This is a “heads-up” notice to please review the details of the recent Medicare Outreach Article from CMS. We suggest that you check with your MACs on the implementation date for the new X modifiers.

STOP – Impact to You
New coding requirements related to Healthcare Common Procedure Coding System
(HCPCS) modifier -59 could impact your reimbursement.


CMS Final Payment Rules Focus on Value, Quality, and Transparency

By |December 29th, 2014|

As published in Healthcare Business News December 2014

CMS released final rules outlining how Medicare will pay healthcare providers and suppliers in 2015. According to an October 31 CMS News press release, “The rules reflect a broader Administration-wide strategy to move our health care system to one that values quality over quantity and spends taxpayer dollars more wisely by finding […]