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What Small Medical Groups Need to Know About Virtual Groups - Part 2
By banding together into what CMS has termed “virtual groups,” solo practitioners and small medical groups can take advantage of significant flexibility currently available to help them succeed in the...
What Small Medical Groups Need to Know About Virtual Groups for MIPS Reporting – Part 1
Small physician groups and solo practitioners take heart: CMS wants you to be successful in the Merit-based Incentive Payment System (MIPS) without having to merge or be acquired....
Is It Time to Transition From CCMAs to APMs?
A Bridge for Healthcare Reform Over the past decade, clinical co-management arrangements (CCMAs) have risen in popularity as a means to achieve a more integrated care delivery model. CCMAs have...
The IRS Isn't the Only One Monitoring Your Exempt Hospital
As discussed in my previous blog post, the IRS is ramping up compliance audits of governmental hospitals who are exempt under 501(c)3. However, the IRS isn’t the only one monitoring...
What’s the Value of Innovation? (Part 2)
The previous installment of this blog series described the CMS Innovation Center and its mission to test innovative payment and delivery models and to implement the MACRA Quality Payment Program...
Top Takeaways from MACRA Proposed Rule
With the proposed changes to the Quality Payment Program (QPP) released Wednesday, the new administration aims to reduce some administrative complexity and extend the flexibility that CMS provided in the...
What’s the Value of Innovation? (Part 1 in a 2-part series)
The Affordable Care Act created the CMS Innovation Center to allow Medicare and Medicaid programs to test innovative payment and delivery models that improve patient care and lower healthcare costs....
Dual Status Hospitals Beware of IRS Compliance Audits
Is your governmental hospital exempt under Section 501(c)3? If you have a 403(b) plan, the answer is yes; and even if you don’t—you need to check....
A Primer on Operationalizing Alternative Payment Models
MACRA’s anticipated future impact on the healthcare industry has many provider organizations contemplating what actions and resources are necessary to participate in alternative payment models (“APMs”). Provider organizations facing the...
LA HFMA Summer Institute August 28-29, 2017
August 28-29, 2017: Shreveport, LA – Join HORNE Healthcare Partner David A. Williams, CPA, MPH, FHFMA, as he presents the Medicare Payment Reform & Risk Strategy: Hard Choices, Critical Considerations and Successful Pathways at the LA HFMA Summer Institute 2017.
Activity-Based Costing: The Rock Star of Payment Model Reform
Think you can’t afford to invest in a cost-accounting system? The truth is, you can’t afford not to. As Medicare and other payers increasingly tie payments to value, understanding and...
MHA Executive Forum October 12, 2017
October 12, 2017: Biloxi, MS – Join HORNE Healthcare Partners Greg Anderson, CPA/ABV, CVA, Rud Blumentritt, CPA/ABV, CVA, and David A. Williams, CPA, MPH, FHFMA, and Healthcare Manager Chrissy Leggett, CPA/ABV, CVA, as they present at the MHA Executive Forum.
MACRA Toolkit
The MACRA toolkit is a collection of resources, data and checklists to help navigate payment model reform. It is designed to help you learn more and be successful in the new healthcare economy.
6 Considerations in Choosing a Healthcare Valuation Appraiser
Trusting HORNE for healthcare valuation counsel is the first step in successfully managing operations toward clinical excellence. Here are six considerations in choosing your organization's valuation appraisal.
MACRA Success Series
September 8-10, 2017: Ashville, NC – Join HORNE Healthcare Partner Greg Anderson, CPA/ABV, CVA, and Smith Anderson Health Care Head Julian D (Bo) Bobbitt as they co-present MACRA Success Series at the 2017 NCSA Annual Meeting.
Payment Model Reform Infographic
Are You Prepared For Success In The Ever-Changing World Of Healthcare Reimbursements?
New Exempt Employee Rule
The Dept. of Labor projects this new ruling will cost employers an estimated $12 billion over the next 10 years.
Managing FMV/CR Risk
Mitigating the risk of a qui tam relator should be a top priority for healthcare risk management systems.
MACRA's Effect On Physician Practice FMV
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) was signed into law on April 16, 2015. Not only does MACRA fund CHIP through fiscal year 2017, it could impact the fair market value of physician practices as a result of physician reimbursement changes through several components of MACRA.
Value-Based Compensation
8 Considerations in Moving Employed Physicians from Volume to Value-Based Compensation
What Can't Go On Forever...Won't.
The current healthcare system is headed for a crash. Are you adapting?
Hospital/Physician Integration: Creating A Culture of Compliance
The value of building a culture of compliance.
RAC Audits: Better Good Than Lucky
Why strong front-end processes generate reliable RAC audit appeals.