Healthcare Consulting & Reimbursements
Denials Management: Best Practices in Improving Revenue Cycle Processes & Monitoring Third-Party Payer Denials
The complexities surrounding third-party revenue cycle management, patient eligibility, and systems capabilities to support process design changes continue to increase, as do third-party claim denials across virtually all payers. Denials can affect the bottom line of healthcare organizations, leading to lost revenue and productivity; however, in many cases, denials are preventable. In order to prevent denials, […]
Best Practices for Complying with HIPAA & Safeguarding Patient PHI Accessible to Your Business Associates
Healthcare is predicted to be the most targeted industry for cyberattacks in 2017, according to the 2017 Data Breach Industry Forecast from Experian. “Electronic health records remain likely to be a top target for hackers,” Experian found. To further heighten & complicate these risks, providers’ responsibilities for protecting personal health information (PHI) under the […]
AAFCPAs Advises Healthcare Providers to Position Themselves for Change
We may not be able to fully predict how future changes to the Affordable Care Act (ACA) will affect the healthcare system, but AAFCPAs advises healthcare clients to position themselves for change. AAFCPAs’ Matt Hutt reflects on last week’s healthcare reform news, and shares insight into what providers may expect: Healthcare providers must position themselves for […]
Five healthcare policies to expect under President Trump
As Donald Trump was sworn in as the 45th U.S. president, AAFCPAs’ Matt Hutt and other health policy experts share with Managed Healthcare Executive what’s next for healthcare.
Medicare PPS Base Rate & G-Codes for 2017: What FQHCs Need to Know
AAFCPAs would like to make health center clients aware that the Centers for Medicare & Medicaid Services (CMS) recently updated the federally qualified health centers (FQHC) prospective payment system (PPS) base payment rate and the geographic adjustment factors (GAF) for 2017. AAFCPAs advises clients that now is the time to re-evaluate the charges that were […]
Healthcare reimbursement questions to ask during a time of uncertainty
According to a March 2016 report by the Department of Health and Human Services, an estimated 20 million more Americans have health insurance coverage as a direct result of changes driven by the Affordable Care Act (ACA). The influx has payors scrambling to meet coverage demands, while providers and provider organizations simultaneously navigate the murky […]
HRSA Operational Site Visits: Considerations, Risks and Common Trouble Spots
Does your Health Center have its Health Resources & Services Administration (HRSA) site visit looming? If so, or if your Center has been through a recent HRSA Operational Site Visit (OSV), you know what a daunting, stressful and time consuming process this may be. HRSA is continually refining and clarifying the 330 program compliance requirements […]
AAFCPAs to Present Medicare and Medicaid Cost Report Training
AAFCPAs Matt Hutt and Courtney McFarland, in collaboration with the Massachusetts League of Community Health Centers, will again present a Medicare and Medicaid Cost Report Training on October 6th, 2016, 9:00am-1:00pm at the DoubleTree Conference Center, Westborough, MA. Matt and Courtney will provide guidance and best practices in implementing the significant changes made to Federally Qualified Health […]
LILETTA IUD May Offer Cost Savings to 340B Covered Entities
AAFCPAs would like to make healthcare clients aware of a potential cost savings on an Inter-Uterine Device (IUD) for eligible patients. Medicines360 has received FDA approval for an IUD, named LILETTA®. Medicines360 is a nonprofit pharmaceutical company, and as part of their mission, they are making LILETTA® available at a reduced, fixed price of $50.00 […]