Entries by Mike Herold

eBook: Medicaid Eligibility Under Pressure: One Big Beautiful Bill Explained

Explore the interplay between setting defensible, optimal prices in your CDM and leveraging transparency data for payer contract modeling. Understand the key decisions, stakeholders, and analytical tools that align pricing strategy with reimbursement performance to strengthen your organization’s financial position.

eBook: Two-Midnight Rule: Why It’s Still Relevant

Uncover the latest challenges surrounding the Two-Midnight Rule and learn practical strategies to improve compliance, reduce denials, and protect your entitled revenue. This resource provides clear guidance to help hospitals navigate evolving CMS requirements and strengthen Medicare Advantage compliance efforts.

eBook: Update to the HIPAA Privacy Rule to Support Reproductive Health Care Privacy Compliance

Recent court rulings are influencing how the **HIPAA Privacy Rule to Support Reproductive Health Care and Privacy**, effective since April 2024, is applied. As practices prepare for 2026, understanding these evolving requirements is essential. This overview highlights key compliance priorities, recent legal impacts, and what may be next for reproductive health and healthcare privacy.

eBook: CDM Shape-Up: Strengthening Charge Integrity for Revenue & Compliance

A well-maintained Chargemaster (CDM) is the foundation of an effective revenue cycle—impacting everything from reimbursement accuracy to compliance with CMS Price Transparency mandates. In this eBook, you’ll explore how the CDM serves as a linchpin in your organization’s financial and operational health.