Nurses Week 2018 Reflections

Tuesday, October 20 | Post-Acute Care,Revenue Cycle/Billing,Thought Leadership

Denials have historically been treated as a billing problem. A claim is denied. The billing team investigates. Someone tracks down documentation, contacts a payer, corrects the issue, resubmits the claim and waits. If the claim is denied again, the cycle starts over. But here’s the thing: once a denial reaches billing, the work is no longer about preventing the issue. It is about recovering from it.

Monday, October 19 | Post-Acute Care,Thought Leadership

A potentially important shift in personal care took effect on July 1, 2026. Under the Centers for Medicare & Medicaid Services (CMS) Medicaid Access Rule, states were required to begin publicly reporting standardized fee-for-service payment information for several home- and community-based services, including personal care, home health aide, homemaker and habilitation services. At first glance, this may look like another technical Medicaid reporting requirement. Its longer-term significance could be much greater.

Wednesday, October 07 | Post-Acute Care,Thought Leadership

Organizations can no longer afford to approach audit readiness as the responsibility of one department. It requires a connected strategy that spans the entire revenue cycle and helps identify risk before it becomes an audit finding.