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Jul 15

RubinBrown’s Provider Education Portal Webinar: E/M Essentials for Residents

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Jul 23

Navigating Tax Reform: Insights on the One Big Beautiful Bill

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Sep 9

RubinBrown’s Rural Health Webinar Series

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RubinBrown's Healthcare Consulting Newsletter: July 2025

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RubinBrown's Healthcare Consulting Newsletter: July 2025

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RubinBrown's Healthcare Consulting Newsletter: July 2025

Contact Us

Introduction

RubinBrown'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.

Important Updates & Deadlines:

  • Are you a FYE March 31st provider? If so, the cost report filing deadline of August 31st is just a few months away. Reach out today with any questions or if you need assistance in preparing the reports.
  • June 30 marks either the end or midpoint of the fiscal year for many hospitals—a key time for Sole Community and Medicare Dependent Hospitals to review total or year-to-date discharges for potential Volume Decrease Adjustment (VDA) eligibility. Accurate discharge counts and proper cost report structure are essential to support a VDA.
  • CMS has issued a Request for Information seeking public feedback on enhancing the accuracy and completeness of hospital price-transparency data. Responses are due by July 21, 2025. For more details and to submit input, visit https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/accuracy-and-completeness-rfi

Recent Insight Articles

The Importance of Provider Payer Enrollment and Credentialing in a Healthy Revenue Cycle 

Proper provider payer enrollment and credentialing are critical to minimizing denials, reducing compliance risks, and ensuring timely reimbursement. Learn why clearly defined ownership and ongoing management of this process are essential to revenue cycle health in the full article linked below.

Read More

Bridging the Gap: E/M Coding Education for Future Healthcare Providers

Accurate E/M coding is vital to both patient care and reimbursement, yet many future physicians receive little formal training in this area. Explore how early education and the right resources can equip medical students and residents with the skills needed for compliant documentation, optimized billing, and a successful transition into practice.

Read More

Uncovering Hidden Reimbursement Opportunities Through Collaboration

Is your facility simply collecting revenue, or actively cultivating it through collaboration? Discover how bridging the gap between finance and operations can uncover hidden reimbursement opportunities and drive long-term financial success.

Read More

Industry News

Lake Region Healthcare Corporation v. Becerra

In late 2024, Lake Region Healthcare Corporation v. Becerra was decided in favor of the Provider at the Washington, D.C. Circuit Court. This is a major win for Sole Community and Medicare Dependent Hospitals nationwide, who have continued to fight to receive the proper payment under the Volume Decrease Adjustment (VDA) program. This ruling will benefit hospitals that have appealed to have positive PRRB decisions enforced and those that are still in process at the PRRB.” https://caselaw.findlaw.com/court/us-dc-circuit/116542163.html


CMS Cracks Down on Medicare Advantage Overpayments: Is your practice ready for a surge in RADV audits and appeals?

The Centers for Medicare & Medicaid Services (CMS) has unveiled a sweeping new strategy to increase oversight of Medicare Advantage (MA) plans by significantly expanding the Risk Adjustment Data Validation (RADV) audit program.

Historically, CMS audited a small sample of plans annually, but moving forward, every Medicare Advantage plan will be audited each year. Combined with a massive hiring effort and backlogged audits from payment years 2018 through 2024 being pushed to completion by early 2026, this marks a pivotal moment for healthcare providers, especially physician practices. Practices should brace for a sharp uptick in RADV-related activity—particularly appeals—as CMS looks to recoup overpayments tied to unsupported diagnosis coding.


What This Means for Providers

  • Expect an increase in RADV appeals: Practices are already seeing more medical record requests and denials tied to MA risk adjustment audits
  • More aggressive timelines: CMS intends to act faster than ever, shrinking response windows and heightening pressure on documentation accuracy
  • Greater need for bulletproof documentation: Only diagnoses supported by full, encounter-level documentation will hold up under audit.
  • Coding compliance under the microscope: Risk-adjusted conditions must be well-justified and clearly linked to the visit.
  • Operational readiness is key: Practices must ensure they have a process in place for record retrieval, appeal drafting, and clinical documentation improvement.


Actionable Takeaways

  • Audit-proof your documentation: Confirm every HCC diagnosis is properly supported in the record with MEAT (Monitor, Evaluate, Assess, Treat) or TAMPER (Treatment, Assessment, Monitoring, Plan, Evaluation, Referral)
  • Prepare for more appeal activity: Designate roles for responding to RADV requests, create templates, and streamline documentation retrieval.
  • Run internal RADV-style audits now: Identify and correct compliance risks before CMS does.
  • Train providers on RADV fundamentals: Education on what CMS looks for can reduce risk and prevent extrapolated denials.
  • Don't wait to act: CMS isn’t slowing down. Align your workflows, staff, and documentation strategy to this new audit reality.


Get to Know the RubinBrown Healthcare Team

Did you know RubinBrown expanded its healthcare services through the acquisition of The Rybar Group nearly a year ago? This combination brought over 300 years of collective experience in healthcare finance, reimbursement, and revenue cycle management to our team. With this added expertise, we’re better positioned than ever to help providers optimize reimbursement, improve financial performance, and navigate today’s complex healthcare landscape. Our team is committed to supporting your continued success with strategic, hands-on solutions tailored to your needs.

Upcoming Events

July 15, 2025 - RubinBrown's Provider Education Portal Webinar: Charting a Better Future: Empowering Residents with E/M Essentials

This interactive session is designed specifically for physician leaders, program directors, administrative leaders, and medical coders. This practical and insightful webinar will discuss the tools and knowledge needed to strengthen provider documentation, boost compliance, and improve reimbursement accuracy.

Register Now

September 9, 2025 – The Rural Health Clinic Advantage: Leveraging the RHC Designation for Financial Success

Discover how your organization can maximize the financial and operational benefits of the Rural Health Clinic (RHC) designation. This session will explore key reimbursement strategies, real-world examples, and practical steps to help both new and existing RHCs improve sustainability and expand access to care.

Register Now

Previous Events

Cost Report Filing Mistakes That Could Cost You – and How to Avoid Them
(Rural Healthcare Webinar Series, April 2025)

RubinBrown kicked-off its Rural Healthcare webinar series by exploring key regulations, common pitfalls, and strategies to help rural healthcare providers avoid costly errors and unlock reimbursement opportunities.

From Compliance to Strategy: How Cost Reports Can Guide Rural Hospital Success
(Rural Healthcare Webinar Series, June 2025)

This interactive session demonstrated how a hospital’s cost report can serve as more than just a compliance document, but rather as a strategic tool for identifying hidden revenue opportunities and shaping financial strategies.

21st Annual Healthcare Private Equity and Finance Conference
(Chicago, May 13 – 15, 2025)

Healthcare private equity leaders expressed measured optimism across diverse sectors despite ongoing economic and regulatory headwinds, highlighting investment growth in healthtech, pharma services, and Medicaid-heavy markets. Across all discussions, strategic alignment with third parties and a patient-centered, tech-enabled approach emerged as key drivers of long-term success in an evolving healthcare landscape.


If you were unable to attend any of our webinars but would like additional information, please contact Claudine Hildreth at claudine.hildreth@rubinbrown.com / 810.853.6182

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Talk to Our Experts

Thomas B. Zetlmeisl, CPA, CFE, CFF, CGMA Nashville Managing Partner thomas.zetlmeisl@rubinbrown.com 314-290-3395
Jesse Parker, CPA Partner jesse.parker@rubinbrown.com 989.387.1766
Julie Hardy, MSA, CRCE, RHIA, CCS, CCS-P Partner julie.hardy@rubinbrown.com 810.853.6171
Steve Sprague, CHFP, CPA Partner steve.sprague@rubinbrown.com 248.756.6522

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At RubinBrown, our firm fosters a culture built upon five vision points, and are guided by our philosophy of Being Our Best for Others. Discover how you can be your best at RubinBrown today by visiting our Careers & Culture Overview for available opportunities and more.

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