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  • Medicare Delays Repayment Period for AAP Loans
    October 9, 2020

    Medicare providers who received an advance payment under the Accelerated and Advance Payment (AAP) Program now have more time to repay these loan funds, under revised payment terms from CMS.

  • HHS Announces New Round of Provider Relief Funds
    October 2, 2020

    On Monday, October 5, healthcare providers who are serving on the frontlines of the COVID-19 pandemic can begin to apply for relief funds from a new Phase 3 General Distribution allocation.

  • FEMA Issues New Eligibility Rules for COVID-19 Assistance
    September 28, 2020

    Throughout the COVID-19 pandemic, assistance for certain healthcare and nonprofit organizations has been available through the FEMA Public Assistance Program. Eligibility is determined by type of applicant, facility, work and costs.

  • HHS Clarifies Reporting Requirements for CARES Act Relief
    September 24, 2020

    HHS has issued a Post-Payment Notice of Reporting Requirements to clarify how recipients of more than $10,000 in Provider Relief Fund (PRF) dollars under the CARES Act need to report their spending.

  • 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.

  • A Second Chance to Secure CARES Act Relief
    August 5, 2020

    Qualified healthcare providers who missed the initial opportunity to apply for funding from the CARES Act Provider Relief Fund (General Distribution Phase 1) will have another chance to apply for the funding. The U.S. Department of Health and Human Services (HHS) has announced that the portal will reopen on August 10, 2020.

  • Medicare Begins to Retain Payments to Recipients of COVID-19 Advances
    July 28, 2020

    Medical providers and healthcare organizations that received advanced Medicare payments in response to volume interruptions caused by the COVID-19 shutdown will begin to repay those amounts.

  • When will the Telemedicine genie be put back in the bottle?
    Preparing for a Return to Pre-Covid-19 Regulations
    June 25, 2020

    One of the most impactful tools that healthcare providers were given to maintain continuity of care through the social distancing of COVID-19 was the relaxing of restrictions on telehealth services. Preparation will be key to ensure that providers are still well-positioned to take advantage of this opportunity once pre-pandemic regulations return.

  • HHS Launches New Relief Portal for Medicaid and CHIP Providers
    June 10, 2020

    The U.S. Department of Health and Human Services (HHS) launched an enhanced Provider Relief Fund Payment Portal to allow Medicaid and CHIP providers to report their annual patient revenue to determine eligibility for COVID-19 relief payments.

  • Reporting Your HHS Relief Payments

    May 29, 2020 | Grassi Healthcare Advisors

    If your healthcare practice or organization received and kept COVID-19 federal relief funds totaling more than $10,000, you are required to submit a report to HHS by the end of the year.

  • New Reporting Requirements for Recipients of HHS Relief Funds
    April 21, 2020

    The healthcare industry is entitled to a hefty portion of relief under the Coronavirus Aid, Relief, and Economics Security (CARES) Act and other federal Coronavirus Acts. Built into this legislation are strict oversight provisions and reporting requirements to ensure the funds are being used appropriately.

  • Telehealth Funding Available through New COVID-19 Relief Program
    April 14, 2020

    The FCC's COVID-19 Telehealth Program is now accepting applications for eligible healthcare providers to receive immediate support as they respond to the COVID-19 pandemic. The program provides $200 million of funding for telecommunications services, information services and devices necessary to provide critical connected care services to COVID-19 patients.

  • COVID-19 Relief Payments on the Way to Healthcare Providers
    April 10, 2020

    The U.S. Department of Health and Human Services (HHS) has provided more details on the $100 billion of relief funds provided for the healthcare industry under the Coronavirus Aid, Relief and Economic Security (CARES) Act.

  • Ask the Expert: Healthcare During the Pandemic
    April 6, 2020 | Crain's New York Business

    Joseph Tomaino, CEO of Grassi Healthcare Advisors, was interviewed by Crain's New York Business for his insights into the challenges, trends and best practices shaping the healthcare industry in the wake of the COVID-19 pandemic.

  • Coronavirus Highlights Need for Businesses to Plan for Health Risks
    February 26, 2020

    Many business response plans and insurance policies do not cover business interruption caused by an epidemic. It may not seem a likely scenario in this age of advanced healthcare, but as the Coronavirus proves, risk assessments and business continuity plans should include regional health risks throughout the world.

  • 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.

  • Profit is Not a Dirty Word
    October 11, 2019

    Joe Tomaino, CEO of Grassi Healthcare Advisors, explains why not-for-profit skilled nursing facilities should think differently about profitability and develop plans for sustaining it.

  • Alert: Anthem's New Prepay Review Policy
    August 28, 2019

    Anthem's new prepay review policy gives practices time to get the house in order!

  • 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. 

  • What to Expect in 2019?
    12/21/2018

    In the coming year, we expect to see continued industry pressures related to squeezes on reimbursement and pressure for improved outcomes and efficiency. 

  • Compliance Alert: CMS Postpones proposed changes to Evaluation and Management Services to 2021
    11/13/2018

    CMS released the final Physician Fee Schedule (PFS) rule on November 1, 2018 and expects to publish it on November 23, 2018. 

  • E-Alert: Statewide Healthcare Facility Transformation Funding II
    10/29/2018

    It is our understanding that the announcement of the awards for the New York Statewide Healthcare Facility Transformation Funding II offering will be made in mid-November, followed shortly after by a release of an RFP for New York Statewide Healthcare Facility Transformation Funding III. 

  • 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: CMS Patients over Paperwork
    07/20/2018

    CMS Patients over Paperwork initiative may bring about big changes to the way physicians are currently utilizing Evaluation and Management codes and  their documentation requirements. 

  • 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.

  • Telegraph, Telephone, Telehealth! The New Wave for Healthcare Delivery by Stephanie Fiedler
    01/08/2018

    For many years in Rural Health Professional Shortage Areas (HPSA) or in Metropolitan Statistical Areas (MSA), Medicare has supported Telehealth services due to the lack of certain types of medical professionals in identified geographic areas. Many Medicaid programs followed suit for similar reasons although they did not require the service to be delivered in HSPAs or MSAs.

  • More Bundles of Opportunity and Risk—Are You Ready? by Joseph Tomaino
     

    CMS released proposed rules for expansion of the bundled payment program for Medicare fee-for-service beneficiaries.  This expands the current Comprehensive Care for Joint Replacement (CJR) program implemented in 67 Metropolitan Statistical Areas (MSA) across the country.

  • Integration of Primary Care and Behavioral Health-What Providers Fear Most  by Joseph Tomaino
      

    The focus on value-based care and the associated initiatives that support it (accountable care, managed care, bundled payments, DSRIP, etc.) has forced providers to address the mind-body connection and its impact on utilization of health care resources.