Health Care

Increased government regulations. Third-party payor systems. Charitable care issues.

Health care organizations face a complex array of issues. With our depth of experience and breadth of resources, we help address these industry challenges to meet our clients' unique needs. From accounting and tax to reimbursement and health care information technology, our specialists deliver effective and affordable solutions to nearly 3,000 health care institutions across the nation.

Health Care Payment Reform Examined
By understanding the various payment reform models and how they affect operating margins, health care organizations can weather the transition from utilization payment models to value-based patient-centered payment models.

Electronic Health Records: Make the move
Reprinted from Senior Living, Walter Tanenbaum, director-health care industry services practice, discusses EHRs and their impact on efficiency, quality care and competiveness.

Medicare Incentive Payments for Meaningful Use of Electronic Health Records - Healthcare Financial Management Association

2011 Medical Group Compensation Study
We recently teamed with the American Medical Group Association to survey representatives of medical groups across the country on compensation trends for 2011. Learn more by reading this article.

McGladrey provides technology consulting to improve efficiencies and address resource challenges
A private, not-for-profit health care organization, including a hospital, critical access facility, and five rural clinics, had implemented an Epic electronic medical records (EMR) system recently, but required major streamlining. After completing a comprehensive discovery process, McGladrey noted that many business processes were not automated, financial double entry was occurring in many instances, and automated procurement and materials management was not in place to complement the Epic EMR system.

Alert: December deadline nears for wage Index and occupational mix survey revisions
The Federal Fiscal Year 2013 wage index and occupational mix survey request for revisions deadline is December 5, 2011. Is your health care organization prepared?

ICD 9 to ICD 10 transition: Implementation strategies and a
timeline for success
ICD 10 coding will become mandatory on Oct. 1, 2013 and will have a significant impact on the way all health care providers do business. Organizations must begin planning for the transition immediately to avoid reimbursement delays.

Critical Questions and Answers to Issues Facing Health Care
Organizations Today
Find answers to the questions that keep health care executives up at night to help improve performance, effectively and efficiently comply with regulatory issues and uncover hidden opportunities for growth.

CMS posts final rule for Fiscal Year 2012 PPS payments to skilled nursing facilities
CMS released a final rule regarding Fiscal Year 2012 PPS Payments to Skilled Nursing Facilities recently. The contents came as no surprise given the weak state of the economy and the unintended spike in payments by CMS to skilled nursing facilities since October 2010, following the advent of RUG-IV.

Alert: July Marks New CMS Fraud Detection Technology
CMS is using new predictive modeling technology that analyzes multiple data points to help identify questionable trends and patterns. Implementation of the new technology will likely diminish CMS recovery acts aimed at recouping payments made on claims to providers, in some cases causing claim payments to be delayed or even denied. Providers can expect greater delays in receiving payments on submitted claims; here are suggestions for avoiding unnecessary delays.

ICD 9 to ICD 10 Coding Structure Change: Mitigate Your Risks
It’s not too early to prepare for the new ICD 10 coding structure, which takes effect on October 1, 2013. Find out how you can mitigate risk and prepare for this historic change.

Mergers in Health Care: Making Sense of the Mayhem
View recording May 24, 2011 web seminar that examine the rise of mergers and acquisitions in the health care industry and how organizations can strategically prepare.

Inpatient Regulatory Rule Presentation Series
This series features our leading health care industry professionals on the 2010 Inpatient Regulatory Rule. Learn its impact on health care organizations. Understand the changes touching Medicare, DRGS, disproportional share hospital fund allocations, wage index revisions, POA reporting, cost reporting, rural hospital issues and much more.

Living In Tweenerville: An Accounting Uncertainty for Continuing Care Retirement Communities (CCRCs)
It’s an interesting time for health care organizations with resident contracts accounted for under Chapter 14, Financial Accounting and Reporting by Continuing Care Retirement Communities, of the current AICPA Guide to Health Care Entities. Controversy is centered on a draft document on the AICPA website attached to the Sept. 7-8 FinREC meeting agenda.

Obama Tax Compromise Passes: Tax Cuts Extended, Business Incentives Enhanced
Sweeping bill continues Bush-era rates, extends jobless benefits, sets estate tax parameters, cuts Social Security payroll taxes, provides AMT patch and includes business stimulus credits and provisions.

Meaningful Use: The Final Rule for Stage One of EHR Incentive Funding
The final rule from the Centers for Medicare and Medicaid Services regarding health care providers' meaningful use of electronic health records was released on July 13. This guidance provides clarity regarding what is expected to meet initial requirements as well as what to expect in subsequent stages.

Understanding MDS 3.0 and RUG IV Reimbursement
for Nursing Homes
Learn about the major changes associated with the impending introduction of MDS 3.0 and updated RUG IV - including their impact on long-term care organizations and the steps organizations can take to prepare strategically.

Physician Practice Revenue Cycle Improvement
View recording of April 21, 2010 Web seminar

Cost reduction strategies for health care organizations
View recording of Feb. 2, 2010 Web seminar

Health Care Reform Bills Include Numerous Tax Changes
The Patient Protection and Affordable Care Act (H.R. 3590), which President Obama is expected to sign later this week, and the Health Care and Education Affordability Reconciliation Act (H.R. 4872), also passed by the House and which the Senate will consider shortly, include a series of new taxes and fees on individuals and businesses, as well as tax credits designed to help ensure nearly universal health insurance coverage.

CMS Clarification of Physician Supervision Requirements
The Centers for Medicare and Medicaid Services has published the Outpatient PPS Final Rule, and McGladrey’s team of health care regulatory experts offers an analysis of the rule’s hundreds of pages of complex discussions surrounding this topic.