Lutz Promotes 15 to Senior Positions

Lutz Promotes 15 to Senior Positions

 

LUTZ BUSINESS INSIGHTS

 

Lutz promotes 15 to senior positions

 

 Lutz, a Nebraska-based business solutions firm, has promoted 15 professionals to Senior positions.

Juan Ayala-Roman, CPA, has been promoted to Senior Accountant in the audit department in Lutz’s Omaha office. He is responsible for providing assurance and consulting services to clients with a focus on employee benefit plans and the non-profit industry.

Jack Boulay, CPA, has been promoted to Senior Accountant in the audit department. He is responsible for providing credibility to clients through financial reporting. In addition, he will work to maintain a high level of objectivity and confidentiality in all areas for clients in a variety of industries. Boulay works in Lutz’s Omaha office.

Matt DeLong has been promoted to Senior Accountant in the tax department. He is responsible for the preparation of individual, business and fiduciary income tax returns, estate and business planning, as well as taxpayer representation on IRS matters. DeLong works in Lutz’s Omaha office.

Bryan Frew, CPA, has been promoted to Senior Accountant in Lutz’s Hastings Office. He is responsible for providing business and individual taxation services to clients in a variety of industries. In addition, he will provide credibility to clients through financial reporting.

Bryson Henkel, CPA, has been promoted to Senior Accountant. He provides individual and business income tax returns with a focus on the agriculture industry, as well as employee benefit plan audits. Henkel works in Lutz’s Hastings office.

Nate Jones, CPA, has been promoted to Senior Accountant in the audit department. He is responsible for the preparation and examination of financial records for clients across various industries. Jones works in Lutz’s Omaha office.

Kim Kaye, CPC, CEMA, has been promoted to Senior Healthcare Consultant in Lutz’s Omaha office. She provides professional coding assistance, chart audits and chargemaster reviews for clients with a focus on the healthcare industry.

Emily Moore, CPA, has been promoted to Senior Accountant in the client accounting services department. She specializes in providing outsourced accounting services to clients with a focus on QuickBooks, tax and payroll compliance, small business consulting, as well as software implementation and training. Moore works in Lutz’s Omaha office.

Brad Newton, CPA, has been promoted to Senior Accountant in the tax and operations departments. He is responsible for providing tax planning and consulting for clients with a focus on tax exempt organizations. In addition, he will assist in coordinating Lutz’s internal accounting operations. Newton works in Lutz’s Omaha office.

Emma Perry, CPA, has been promoted to Senior Accountant in the tax department. She is responsible for the preparation of individual, business and fiduciary income tax returns for clients in a variety of industries. Perry works in Lutz’s Omaha office.

Robby Renshaw has been promoted to Human Resources Specialist in Lutz’s Omaha office. She is responsible for leading Lutz’s internship program and campus recruiting efforts. In addition, she helps oversee the onboarding, employee retention and performance management processes.

Kris Rutz has been promoted to Senior Project Engineer in Lutz’s Tech division. With over five years of experience in the technology industry, Rutz is responsible for assisting outsourced IT clients with technology infrastructure enhancements. Kris works in Lutz’s Omaha office.

Steve Schaffer has been promoted to Operations Lead. He is responsible for assisting the Chief Operating Officer in leading internal operations, gathering and analyzing firm data, as well as consulting with management on internal business plans. Schaffer works in both the Lincoln and Omaha Lutz offices.

Claire Thelen has been promoted to Senior Healthcare Consultant. She provides chargemaster, billing and coding and revenue cycle consulting services to clients with a focus on hospitals and healthcare systems. Thelen works in Lutz’s Omaha office.

Zach Weis, CPA, has been promoted to Senior Accountant in the tax department. He provides tax consulting and compliance services for clients with a focus on individual and business income tax. Weis works in Lutz’s Omaha office.

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VIEW MODIFIED SUMMER HOURS HERE

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

CAH Ambulance Changes

CAH Ambulance Changes

 

LUTZ BUSINESS INSIGHTS

 

cah ambulance changes

cathy bojanski, healthcare manager
claire thelen, senior healthcare consultant

 

The current policy for ambulance services furnished by a CAH or an entity that is owned and operated by a CAH is 101 percent of the reasonable costs of the CAH or the entity in furnishing those services, but only if the CAH or the entity is the only provider or supplier of ambulance services located within 35-miles of the CAH. To ensure that areas served by CAHs have adequate access to ambulance services, the DHHS is proposing to revise the current policy.

What is changing? Effective for cost reporting periods beginning on or after October 1, 2019, CMS is revising its interpretation to exclude consideration of ambulance providers or suppliers that may be within that 35-mile range but are not legally authorized to furnish ambulance services to transport individuals to or from the CAH.

Why the change? If a CAH does not receive reasonable cost-based payments for its ambulance services because there is another provider or supplier of ambulance services within a 35-mile drive of the CAH, even if that provider or supplier is not legally authorized to transport individuals either to or from the CAH, the CAH may be unable to support the costs of providing ambulance services in its service area. DHHS is proposing to address this “gap” in the current regulation.

Consistent with the existing policy, if there is no provider or supplier of ambulance services located within 35 miles of a CAH and there is an entity that is owned or operated by a CAH that is more than 35 miles from the CAH, payment for ambulance services furnished by that entity is 101 percent of the reasonable costs of the entity furnishing those services, but only if the entity is the closest provider or supplier of ambulance services to the CAH.

https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-08330.pdf

ABOUT THE AUTHOR

402.827.2366

cbojanski@lutz.us

CATHY BOJANSKI + HEALTHCARE MANAGER

Cathy Bojanski is a Healthcare Manager at Lutz with over 25 years of experience. Her primary responsibilities include preparation and review of Hospital and Clinic Chargemaster (CDM) reviews for healthcare clients, as well as assisting with coding and billing services.

AREAS OF FOCUS
AFFILIATIONS AND CREDENTIALS
  • Association for Rural Health Professional Coding, Member
  • Certified Billing Specialist

402.514.9218

cthelen@lutz.us

LINKEDIN

CLAIRE THELEN + SENIOR HEALTHCARE CONSULTANT

Claire Thelen is a Senior Healthcare Consultant at Lutz with over four years of experience in the healthcare industry. She provides chargemaster, billing and coding and revenue cycle consulting services to clients with a focus on hospitals and healthcare systems.

AREAS OF FOCUS
  • Assurance
  • Healthcare Consulting
  • Hospitals & Healthcare Systems
EDUCATIONAL BACKGROUND
  • BS in Health Care Administration, University of Nebraska, Omaha, NE
  • Concentration in Nursing, Clarkson College, Omaha, NE
THOUGHT LEADERSHIP
  • CAH Ambulance Changes

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We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

VIEW MODIFIED SUMMER HOURS HERE

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Health Resources & Services Administration: The Impact on Rural Health

Health Resources & Services Administration: The Impact on Rural Health

 

LUTZ BUSINESS INSIGHTS

 

health resources & services administration: the impact on rural health

amy evanich, healthcare consulting senior

 

The Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, is the primary federal agency for improving health care for people who are geographically isolated, economically or medically vulnerable. The Agency programs assist those in need of high-quality primary healthcare. HRSA also supports the training of health professionals for improved health care delivery. When visiting the HRSA website (https://www.hrsa.gov/) there is access to data, grants, scholarships, organizations, and many other educational resources.

This article will focus on summarizing the Vulnerable Rural Hospital Assistance Program (VRHAP) and the Bureau of Health Workforce (BHW) that are currently available.

Vulnerable Rural Hospital Assistance Program (VRHAP)

The Vulnerable Rural Hospitals Assistance Program (VRHAP) provides targeted in-depth assistance to vulnerable rural hospitals struggling to maintain healthcare services with the goal for residents in those rural communities to continue to have access to essential health services. The overall goal of this program is maintaining local healthcare.

Within the VRHAP, the Center for Optimizing Rural Health (CORH) was created to work with those rural hospitals and communities across the US that are vulnerable to closure. The CORH will offer three tiers of assistance:

  • Tier One – On-Site Technical Assistance
  • Tier Two – Virtual Technical Assistance
  • Tier Three – Self – Directed Technical Assistance

Visit the HRSA website for more information.

Bureau of Health Workforce (BHW)

Another assistance program that is available is The Bureau of Health Workforce (BHW). BHW improves the health of underserved and vulnerable populations by strengthening the health workforce and connecting skilled professionals to communities in need. 

The priorities of the BHW include:

  • Transforming the health care workforce through sustained support of clinicians working in underserved areas;
  • Increasing access to behavioral health services, including substance use disorder treatment; and
  • Leveraging health care workforce data to inform program and policy decisions.

There are several ways in which the BHW strengthens the Healthcare Workforce including:

  • Scholarship, Loan, and Loan Repayment Programs for Health Professionals
  • Health Professions Training Grants to Support Institutions
  • Strategic Partnerships
  • Shortage Designation
  • Health Workforce Analysis
  • National Practitioner Data Bank

Visit the HRSA website for more information.

References:

Health Resources & Services Administration. (n.d.). Retrieved on July 17, 2019 from https://www.hrsa.gov/.

Health Resources & Services Administration. (n.d.). Vulnerable Rural Hospital Assistance. Retrieved on July 17, 2019 from https://www.hrsa.gov/library/vulnerable-rural-hospital-assistance.

Health Resources & Services Administration. (2019, June). Bureau of Health Workforce. Retrieved on July 17, 2019 from https://www.hrsa.gov/about/organization/bureaus/bhw/index.html.

ABOUT THE AUTHOR

402.769.7055

aevanich@lutz.us

LINKEDIN

AMY EVANICH + HEALTHCARE CONSULTING SENIOR

Amy Evanich is a Healthcare Consulting Senior at Lutz with over 10 years of professional experience in the Healthcare industry. She specializes in the areas of medical chart reviews, appeal preparation, Medicare regulation guidance, interpretation and education, and healthcare billing policies and procedures.

AREAS OF FOCUS
  • Healthcare Reimbursement
  • Audit Response Assistance and Appeal Preparation
  • Medical Chart Review Including Medical Necessity
  • Healthcare Billing
AFFILIATIONS AND CREDENTIALS
  • Registered Nurse (RN)
EDUCATIONAL BACKGROUND
  • Bachelor of Science in Nursing (BSN), Clarkson College, Omaha, NE
  • Master of Science in Nursing Health Care Administration (MSN), Clarkson College, Omaha, NE
COMMUNITY SERVICE
  • Nebraska Action Coalition, Leadership Team

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We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

VIEW MODIFIED SUMMER HOURS HERE

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Activation of OPPS System Edits Delayed

Activation of OPPS System Edits Delayed

 

LUTZ BUSINESS INSIGHTS

 

activation of opps system edits delayed

 

Special Edition (SE) 19007 was revised to provide an update on Round 3 testing of system edits for Outpatient Prospective Payment System (OPPS) providers with multiple service locations and to announce a delay of full implementation until October 1, 2019.

WPS eNews Monday July 15, 2019

 

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We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

VIEW MODIFIED SUMMER HOURS HERE

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Provider Enrollment Updates

Provider Enrollment Updates

 

LUTZ BUSINESS INSIGHTS

 

provider enrollment updates

kirk delperdang, healthcare manager

 

Medicare Provider Enrollment

The Medicare provider and supplier enrollment process is a continuous one which requires on-going attention, lest you be impacted by an interruption in reimbursement. 

Here are just a couple of the more popular items that providers find themselves contending with regarding their Medicare enrollments:

Changes of Information

Changes of information to your CMS-855 enrollments should be submitted if you are changing, adding, or deleting information under your current tax identification number.  The CMS Provider Integrity Manual or PIM Chapter 15 is the guide to follow when you have questions regarding requirements for your Medicare enrollment.  Additionally, specifically for changes of information, in accordance with 42 C.F.R. 424.516(e), unless otherwise noted below, changes in your existing enrollment data must be reported to CMS within 90 days of the effective date of the change.

Information changes to be reported include (but are not limited to):

  • Legal business name or doing business as (dba) name
  • Change of ownership – all sections must be submitted and must be reported within 30 days of the effective date of the change 
  • Adverse history – must be reported within 30 days of the effective date 
  • Main practice location change, to add an additional location or to delete a location – must be reported within 30 days of the effective date 
  • Ownership interest or managing control information 
  • Billing agency information 
  • Authorized or delegated officials

Revalidations

If you have spent any time in Medicare enrollment over the last decade, you know what revalidations are and the pitfalls that can befall you if you are not prepared.  CMS began the second round of revalidations in 2016 and will continue this process through the completion of Round 2.

In an effort to help providers/suppliers in this second round of revalidations, CMS has provided multiple resources for your reference purposes.  A few of these can be found via these references.

Revalidation Resources1

Other assistance provided by CMS includes:

  • End-of-month due dates
  • The ability to  revalidate an enrollment up to 6 months before it is due
  • Early notifications via the PECOS Revalidation Notification Center

How should I submit my Medicare enrollment records? 

The best way to submit Medicare enrollment information, whether it be an initial enrollment, change of information, reassignment, or other, is via the PECOS system.  WHY??  – Since we assume time and money are important to you in operating your practice or facility, those are two great reasons to use PECOS.  Here are some more reasons:

  • Electronic submission is faster than paper (Who knew?)  (45 days vs 60 days, on average)
  • PECOS drives the correct pages and sections to complete, instead of you having to guess what sections and pages to complete
  • Better accuracy
  • Easier to check status
  • Ability to upload supporting documentation
  • Pay enrollment fees
  • Reduction in chances of development – Again, less time and money

Where will I likely do wrong?

So, we just told you that you should submit your Medicare enrollment items via PECOS instead of paper.  This does not mean that PECOS is perfect or that it prevents all errors.  Here are some likely cases where you may stub your toe in the PECOS submission process:

  • Faulty submission – make sure you receive a submission receipt 
  • Not uploading the appropriate signed and dated certification statement timely
  • Failure to submit the required documentation (e.g. CP-575, Licenses, CMS-588, Other) 
  • Attaching a paper copy of the enrollment to the electronic copy of the enrollment

OK  –  With all of these tools at your disposal, as well as the Lutz enrollment team, you should be able to keep your Medicare enrollment in good standing with CMS.  We don’t want any preventable enrollment issue to negatively impact your reimbursement.

 

1 – As provided on the WPS GHA Provider Enrollment website

ABOUT THE AUTHOR

402.496.8800

kdelperdang@lutz.us

LINKEDIN

KIRK DELPERDANG + HEALTHCARE MANAGER

Kirk Delperdang is a Healthcare Manager at Lutz with over 25 years of experience. He provides accounting and consulting services to healthcare and related organizations.

AREAS OF FOCUS
AFFILIATIONS AND CREDENTIALS
  • Healthcare Financial Management Association - Nebraska Chapter, Member
  • Nebraska Society of Certified Public Accountants, Member
EDUCATIONAL BACKGROUND
  • BA in Accounting, University of Northern Iowa, Cedar Falls, IA
COMMUNITY SERVICE
  • St. Vincent de Paul, Knights of Columbus, Member
  • Active in various youth sports leagues: Aldrich Elementary, Millard Athletic Association, Millard North Schools, Omaha FC, Skutt Catholic High School and YMCA

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

VIEW MODIFIED SUMMER HOURS HERE

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

ICD-10 Updates for 2020

ICD-10 Updates for 2020

 

LUTZ BUSINESS INSIGHTS

 

icd-10 updates for 2020

 

CMS published the changes to the ICD-10-CM codes effective for services on or after October 1, 2019.

There are 273 new codes, 21 deleted codes and 30 description revisions.

The file containing the updates can be found on the CMS website:

https://www.cms.gov/Medicare/Coding/ICD10/2020-ICD-10-CM.html

The list containing the adds, changes and deletes is available in text format by opening the file labeled:

icd10cm_codes_addenda_2020-Notepad

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

VIEW MODIFIED SUMMER HOURS HERE

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

601 P Street, Suite 103

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850