MRA & FFS Normalization
This post is parenthetical to the series entitled, A Moment of Silence for the Sunsetting MRA Program. Although Medicare Advantage (MA) and the traditional Medicare program cover the same patients...
View ArticleA Moment of Silence for the Sunsetting MRA Program – Part 1
Since the CMS-HCC risk adjustment payment paradigm took effect in 2003, our company has seen considerable changes, but this year takes the cake, as they say. Frankly, a moment (or really, a week) of...
View ArticleA Moment of Silence for the Sunsetting MRA Program – Part 2
By now, you may have come to terms that MRA, as we know it, is on its way out. If you’re not informed about the changes for 2024, we urge you to read the first installment of this article series. In...
View ArticleA Moment of Silence for the Sunsetting MRA Program – Part 3
This has been a difficult series of articles for our company, summarizing the 2024 changes to the CMS-HCC risk adjustment model. And we imagine our clients are speechless when considering the...
View ArticleKnowledge is Power: The AHCA Licensure Application
This short blog series is intended to help new entrepreneurs understand a little more about the licensure process with the Agency for Healthcare Administration (AHCA) in establishing your Florida...
View ArticleWhat We’re Reading: The CY 2024 Physician Fee Schedule Proposed Reg: The...
We’re always curious about reactions to CMS announcements and recently read a comprehensive blog post by McDermott+Consulting, a subsidiary of McDermott Will & Emery (MWE). Their analysis ranges...
View ArticleKnowledge is Power: Policies & Procedures
We’ve been reviewing various steps along the process to get your long-term care business up and running [catch up by clicking here] and this installment concerns your comprehensive policies &...
View ArticleJust Following Orders isn’t a Defense to Fraud
A case from North Carolina highlights what we see too often: healthcare entrepreneurs and providers committing fraud, paying monetary penalties and even facing incarceration. But rarely do we see the...
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Knowledge is Power: the AHCA Survey
In this series, we’ve been discussing the major steps in launching your long-term care business in Florida. The first step was looking at the business types and environmental factors (here & here)...
View Article2024 ICD-10-CM Changes Are Weeks Away
Every year, CMS issues clarifications, additions and deletions to diagnosis codes that become effective on October 1, 2023. For 2024, CMS announced 395 new diagnosis codes, 25 deletions and 13...
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