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Revenue Integrity

  • Cash Flow in a Crisis: Managing HHS Relief Funds and Revenue Shortages
    August 10, 2020

    During the COVID-19 crisis, cash flow has been anything but typical for medical providers. CARES Act relief payments brought in large unexpected amounts of cash, while significant lost revenues from the early impact of the pandemic are just hitting revenue cycles now. As a medical provider, it is highly likely that you experienced both extremes. If so, it is more important than ever to plan carefully how you are using and managing your organization’s dollars.

  • GHA Distance Learning Program for Skilled Nursing Facility Leaders
    July 6, 2020

    The Grassi Healthcare Advisors Distance Learning Program for Skilled Nursing Facility Leaders is committed to providing you with timely and helpful information to assist you with your day-to-day role and challenges. This program consists of live webinars, educational programs and recorded presentations, many of which are approved by NAB for nursing home administrator continuing education credits.

  • Grassi Healthcare Advisors Launches COVID-19 Emergency Resource Center
    March 27, 2020

    The GHA COVID-19 Emergency Resource Center offers a wide range of emergency consulting and support services to help healthcare organizations get through the global health crisis. The services are based on the latest best practices and governmental advisories on operational issues, as well as all available emergency funding resources.
     

  • Case Study: Grassi Healthcare Advisors Helps a MSO Get to the Bottom of Reimbursement Issues
    February 25, 2020

    All healthcare organizations face compliance and reimbursement challenges. But when you’re a management services organization, these challenges are compounded. Even with the best faith efforts to maintain high levels of revenue integrity and performance, problems within an individual practice can arise and affect the entire MSO. Grassi Healthcare Advisors stepped in when this scenario became an alarming reality for a MSO client.

  • The Importance of Documentation in Orthopedic Surgery Coding
    February 24, 2020 | Cindy Blair

    Documentation of an injury, fracture or wound is one of the most critical elements of proper ICD-10 coding for orthopedic surgery claims. This requires active physician participation to ensure documentation is complete, claims are accurate and prompt payments are received.

  • Overcoming Obstacles to Profitability
    October 27, 2019

    Nonprofit skilled nursing facilities can learn valuable lessons from for-profit and nonprofit operators that have succeeded in maintaining profitability, despite the challenges of declining reimbursement rates.

  • Get Cash Credit Resources Straight 
    04/15/2019

    Grassi Healthcare Advisors LLC (GHA) Chief Executive Officer Joe Tomaino was featured in the March 25th, 2019 edition of PartB News.  He was quoted on challenges facing providers regarding credit resources. 

  • Practice Risk and Provider Accountability
    January 28, 2019

    Keeping up-to-date with all the change in healthcare today can be overwhelming—it literally feels like a full-time job staying ahead of the curve when it comes to compliance with state and federal regulations, managed care and commercial payer requirements regarding billing, coding, and documentation content compliance. 

  • EAlert: CMS Final Rule -- Be Heard on E/M Changes
    08/08/2018

    In the Final Rule for 2019, CMS proposes to answer the call of providers to revise E/M coding & documentation for both new and established outpatient visits. The impact to your practice could be significant.

  • EAlert: Outpatient Rehab Therapy Changes
    07/26/2018

    Both the Bipartisan Budget Act of 2018 and the CMS Proposed Final Rule bring changes to Outpatient Rehabilitation Therapy services.

     

  • EAlert: OMIG to Target Managed Care Services – How do you look?
    4/12/2018

    As Medicaid providers you are aware that NYS OMIG has altered their Work Plan from an annually published plan to a dynamic or rolling plan—which is adjusted throughout the fiscal year to adapt to the changing healthcare demands. This week OMIG announced several new initiatives, but the one that caught our eye is that which will target Managed Care Network Providers.

  • EAlert: Important Updates in BH and Telehealth
    03/16/2018

    Important Updates in the 2018 CMS Final Rule for Physician and Behavioral Health Services! IMPORTANT UPDATE #1:The Rule Shows Improvement of Payment Rates for Non-facility and Office-based Behavioral Health Services. CMS is in the process of finalizing an improvement in the way Medicare Physician Fee Schedule (MPFS) rates are set that will positively impact office-based behavioral health services.

  • E-Alert: Important Information for Behavioral Health Providers
    03/13/2018

    2018 Final Rule – Shows Improvement of Payment Rates for Office-based Behavioral Health Services
    CMS is in the process of finalizing an improvement in the way Medicare Physician Fee Schedule (MPFS) rates are set that will positively impact office-based behavioral health services.