Medical Practices Revenue Reduction Due to COVID-19
Our healthcare contacts and clients continue to tell us that the COVID-19 economic impact to medical groups is severe. These groups have sustained a 55% revenue plunge on average, according to a new survey from the Medical Group Management Association (MGMA), a trade group...
CMS Regulatory Flexibility
The Centers for Medicare and Medicaid Services has introduced some flexibility into some key regulations. This flexibility is intended to allow healthcare providers better access to treat COVID-19 patients. On March 30, CMS issued an interim final rule that for...
CARES ACT and The Benefits for Healthcare Providers
Accelerated and Advance Payment Program (AAPP) The Centers for Medicare and Medicaid Services (CMS) has provided for some key benefits for Medicare participating providers. We believe this AAPP is going to be a key bridge loan for hospitals, doctors and...
Medical Supply Shortage – Strategic National Stockpile
The news has been focused on the shortage of medical supplies to combat the COVID-19 virus. The Federal and State governments have been looking for opportunities to purchase Personal Protective Equipment (PPE) for our healthcare workers and ventilators for the...
Medicare Telehealth Coverage
The Trump Administration announced expanded Medicare telehealth coverage that will enable beneficiaries to receive a wider range of healthcare services from their doctors without having to travel to a healthcare facility. Beginning on March 6, 2020, Medicare—administered by the Centers...
Prior Authorization
The challenge of prior authorization is unlikely to get better anytime soon. There may be two opportunities for improvement as follows: technical solutions that may lower the administrative burden and legal remedies that could shorten the approval timeline. The burden...
Fast Healthcare Interoperability Resources (FHIR)
A recent Healthcare Information and Management Systems Society (HIMSS) article focused on the future of Fast Healthcare Interoperability Resources (FHIR). FHIR is a standard describing data formats and elements and an application programming interface for exchanging electronic health records. The...
Healthcare IT Interoperability
A recent healthcare IT article discussed the issue of medical record interoperability. More than two dozen healthcare organizations and technology companies sent an open letter this past week to the U.S. Department of Health and Human Services and the Office of Management...
Physician Practice Acquisition: Fair Market Value
A recent qui tam case was brought against the Community Health Network (CHN) by the U.S. Attorney for the Southern District of Indiana. This case was brought to the attention of the U.S. Attorney by a whistleblower. Many of the...