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Reimbursement Matters

Keeping an Eye on 8 New Payment Trends

Creating financial sustainability and managing time-consuming and frustrating payment policies are continuing ...

AUGUST 25, 2025

Keeping an Eye on New Reimbursement Trends

Creating financial sustainability and managing time-consuming and frustrating payment policies are continuing ...

JULY 1, 2025

Let’s Not Forget About Revenue-Generating Processes!

Healthcare is undergoing several drastic changes, including workforce reductions, tariffs that may lead to major ...

MAY 23, 2025

It’s Time to DO(d)GE Data Lapses in 2025 and Beyond

Expectations abound when new administrations bring new ideas and new challenges with policy changes!

APRIL 22, 2025

Here’s How to Properly Bill for Wasted Drugs

The fundamental principle in billing for wasted drugs is that the medication in specific types of manufacturer ...

FEBRUARY 6, 2025

Heads Up: 8 Payment Changes and Challenges in 2025!

We’ve entered a new year and a new era with major proposed changes to healthcare. How sturdy are your three ...

JANUARY 16, 2025

The Proposed CY 2025 OPPS/ASC and PFS Payment Rules

It may seem a bit early to plan your New Year’s Eve celebrations, but it’s definitely not too soon to ...

OCTOBER 25, 2024

FAQs on Key Payment Issues

Several readers asked for assistance in understanding payment issues at their facilities.

MAY 9, 2024

Finances May Hinge on Biosimilars, PAs

This month’s column primarily covers two major issues confronting pharmacy: prior authorization and the ...

APRIL 18, 2024

The 3 Pillars of Payment

Let’s kick off the 2024 new payment year ensuring that your pharmacy understands and supports the 3 pillars ...

JANUARY 11, 2024

As the Leaves Fall, Is Your Revenue Team Contributing To Low-Quality Payment Data?

Early fall is a good time to prepare for the final FY 2024 rule sets covering all outpatient and physician office ...

OCTOBER 27, 2023

Guilty of ‘Set It and Forget It’?

Telling the patient’s story accurately, completely and in a codable fashion is absolutely essential to data ...

OCTOBER 23, 2023

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