Rybar Group
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Congratulations to Marisa who passed the Certified Documentation Expert- Outpatient (CDEO) exam through the AAPC! This credential validates her expertise in reviewing outpatient documentation for accuracy in the support of coding, quality measures and clinical requirements. The exam requires her to have a strong knowledge of pathophysiology, coding and billing guidelines and quality measures, so this is truly a testament to her expertise and ability. This credential will allow Marisa to continue her work on improving providers  documentation to support increasing reimbursement.

Please join me in congratulating Marisa on this accomplishment!

Industry News and Updates

Are you unsure of what decreased uncompensated care costs mean to your entity?
Are you holding reserves for future re-distributions of pool payments or Upper Payment Limits?
If so we can help~
As the State works to collect the data necessary to calculate the 2014 Step II DSH pool payments and settle the 2014 cost reports, hospitals are left to account for estimates for over three years of potential redistributions and settlements.
As Uncompensated Care Costs decline redistributions of DSH payments are expected to increase. Also, as other supplemental pool payments increase and patients shift from Title XIX to HMP hospitals are left to account for multiple open settlement years.
If you have concerns of the impacts these items will have to your entity please reach out to us today.


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.

Incident to vs. Split/Shared
There tends to be a lot of confusion surrounding services performed by mid-level providers, such as nurse practitioners and physician assistants….Read More




GCMS Practice Manager Meeting – January 25, 2018

Julie Hardy presenting on Reducing Burnout within your practice

Western MI HFMA Spring Conference  РSpring 2018

Rick Reid and Caren Puvalowski presenting