Rybar Group
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Key Consulting Changes

The Rybar Group is pleased to announce that it has recently made some key organizational changes to assist our clients with the opportunities and challenges ahead.

Stephen Sprague, CPAStephen Sprague, CPA, who has successfully led our Volume Decrease Payment Adjustment team for the past several years, has accepted the position as our Critical Access Hospital Service Line Lead. In this role, Steve will be responsible for overseeing the various opportunities presented to our Critical Access Hospital, Rural Health Clinic, and Provider Based Clinic clients. He will provide them with solid reimbursement and payment knowledge, strategic guidance and will work to ensure that they are taking advantage of the regulatory offerings afforded to them by their special designation.

M CookeIn line with this change, Meagan Cooke, CPA, has accepted the position as our Volume Decrease Payment Adjustment Service Line Lead. In this role, Meagan will work with our Sole Community and Medicare Dependent Hospital clients to assist them in taking advantage of this reimbursement opportunity.

The Rybar Group is committed to continuing to provide the same high level of expertise and solutions that you have grown accustom to over the past twenty-six years.

Industry News and Updates

Beginning January 1st, 2016 RHCs and FQHCs may receive payment for Chronic Care Management Services (CCM) furnished to Medicare beneficiaries having multiple chronic conditions that are expected to last more than 12 months or death of the patient.

The payment rate for CCM services in RHCs and FQHCs will be $40.82, and could be billed in addition to the RHC visit as long as the required 20 minutes of qualified CCM services is met.

Cash and Point-of-Service Collection Risks:
Although more Americans have health insurance coverage, 25% do not have money or liquid assets to cover their deductible, according to an article in U.S. Money on March 3, 2015. Even if your state has expanded Medicaid, according to the IRS regulation for 2016, HDHP individual policies have out-of-pocket maximums as high as $6,550 and family policies as high as $13,100.  HDHP are also required to have deductibles not less than $1,300 for an individual or $2,600 for a family.

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Steve Sprague – CAH Conference – November 2016


Laura Lovett

Contributions by Laura Lovett CPC, CPMA, CEMC.  Laura can be reached directly at llovett@therybargroup.com or 810-853-6173

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