As the spring season begins, March brings renewed momentum and a focus on upcoming initiatives. RubinBrown is pleased to present this issue that highlights key updates, ongoing priorities, and notable developments shaping the months ahead.
Learn moreEnhance your IT service delivery and improve top IT service management capabilities. ITSM can help transform your IT organization from a cost center to a valuable, well-managed business partner.
Learn moreIn 2026, hospitals and health plans are seeing the most significant transparency updates since the original federal rules were introduced. The Centers for Medicare & Medicaid Services (CMS) regulations and federal executive orders aim to ensure patients, employers, and other stakeholders can access accurate, comparable and usable pricing data.
Learn moreMedicare has officially extended its telehealth waivers through December 31, 2027, permitting healthcare organizations to continue offering flexible, attainable virtual care options. This extension preserves critical Medicare telehealth flexibilities that were first introduced during the COVID-19 public health emergency ensuring patients and providers maintain continuity of care while policymakers evaluate long-term reforms.
Learn moreA chart auditor opens a provider’s note for a two-week follow-up encounter after a course of antibiotics for a sinus infection. The documentation in the electronic health record includes a complete 14-system review of systems (ROS), comprehensive exam findings across multiple body systems, and an assessment copied forward from the previous visit. The note spans multiple pages and appears thorough at first glance.
Learn more & registerThe proposed modification to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Security Rule (“the Rule”), released December 27, 2024, contains the most sweeping updates to the Rule since 2013.
Learn more & registerReducing risk, improving accuracy, and strengthening Medicare and Medicaid reimbursement outcomes
Learn MoreRunning a Critical Access Hospital (CAH) comes with constant challenges: tight budgets, staffing pressures, and the shift to value-based care.
Learn MoreEach year, the ICD-10-CM code set is updated with code additions, deletions, and revisions.
Learn MoreOn September 15, 2025, CMS launched the Rural Health Transformation (RHT) Program.
Learn MoreThe landscape of behavioral healthcare is evolving, with Certified Community Behavioral Health Clinics (CCBHCs) leading the charge in providing comprehensive, integrated care.
Learn MoreRubinBrown's Healthcare Consulting Services group is pleased to present the second issue of our new newsletter. Tune in to stay up-to-date on industry news, upcoming RubinBrown Healthcare Consulting events, and the latest insights from our team.
Learn moreBehavioral health practices are facing unprecedented challenges on multiple fronts. Demand for mental health services has skyrocketed over the past few years, pushing providers to their capacity limits while major insurers have deployed automated systems that downcode higher-level office visits without human review.
Read MoreMany Medicare Dependent Hospitals (MDHs) and Sole Community Hospitals (SCHs) are unknowingly leaving significant money on the table through underutilization of the Volume Decrease Adjustment (VDA) — a Medicare benefit designed to offset revenue loss from declining inpatient volume.
Read moreEvery patient note is a decision point—one that impacts compliance, reimbursement, and the quality of care. Yet most providers were never formally taught how to document in a way that reflects medical necessity or supports accurate coding. That gap isn’t just a training issue—it’s a risk exposure.
Learn moreRubinBrown's Healthcare Consulting Services group is pleased to present the first issue of our new newsletter. Tune in to stay up-to-date on industry news, upcoming RubinBrown Healthcare Consulting events, and the latest insights from our team.
Learn moreIn the fast-evolving healthcare industry, precise medical coding is essential for proper reimbursement and regulatory compliance. Despite the expertise of seasoned coders and billers, mistakes or overlooked details can still occur, potentially resulting in claim denials, underpayments, or audits. This is where medical coding audits come in. Regular audits can help identify these errors, ensure compliance, and enhance revenue.
Learn moreA growing trend in the healthcare provider sector is the use of outsourced financial leadership positions. This trend is being driven by several factors.
Learn moreIn the intricate landscape of healthcare finance, the daily pursuit of accurate billing and compliant cost reporting often overshadows a more profound question: Are we simply reacting to the revenue cycle, or are we proactively shaping it to capture every legitimate opportunity?
Learn moreIn today's healthcare landscape, a fundamental aspect of a healthcare organization is documentation and coding. The pressure on providers to maintain compliance, ensure accurate documentation, and optimize reimbursement is important as ever. With physicians spending up to 4 hours daily in electronic medical records (EMR), it is paramount to have a centralized training platform. This supports a clear understanding of billing and coding responsibilities while enhancing efficiency in clinical documentation.
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