Marcum LLP's experience in the healthcare industry covers the full continuum of care, with a special focus on the post-acute care geriatric services, hospitals, and physician practices.
We go beyond providing traditional audit and tax services and truly understand the clinical, regulatory, reimbursement, and operational challenges facing today's healthcare industry.
To best serve our clients, we have assembled a team of professionals dedicated to meeting the specialized needs of healthcare companies and non-profit organizations, and providing resources to help them succeed in their businesses.
- Regulatory
- Operation/Financial Support
- Clinical
- Advisory/Expert Testimony
- Assurance Services
- Tax Services
Regulatory
Federal, state and third party reimbursement represents the overwhelming majority of payments received by the provider community. Marcum has made it our business to maintain a detailed understanding of the changing reimbursement landscape, both on a national and regional level. Through the Firm, we continue to assist the provider community in such area as:
- Medicaid/Medicare cost report preparation.
- Medicaid/Medicare compliance audit representation.
- Regulatory credentialing recertification/certification.
- Maintaining regulatory compliance.
Memberships
Related News
May 01, 2018
Healthcare Alert
Medicare Releases Skilled Nursing Facility Proposed Rule for Fiscal Year 2019
On April 27, 2018, the Centers for Medicare and Medicaid Services issued a proposed rule including fiscal year 2019 payment updates and other changes.
January 02, 2018
Healthcare Alert
Therapy Caps Exceptions Process Expired
Congress took no action in 2017 to extend the therapy caps exceptions process, which resulted in the expiration of this legislation as of December 31, ....
October 17, 2017
As Seen In
HCPro published a definitive guide to SNF Medicare billing and reimbursement co-authored by Senior Manager Janet Potter.
With value-based purchasing transforming the long-term care billing landscape, billers need to bill appropriately to ensure they are not leaving money on the table. The ....
September 14, 2017
Healthcare Alert
Gov. Rauner Plans for Illinois Unpaid Bills
Gov. Bruce Rauner announced plans to help pay off some of Illinois' $14 Billion in unpaid bills, by selling off bonds. As part of the ....
August 28, 2017
As Seen In
PPS Alert for Long-Term Care quoted Senior Manager Janet Potter in an article about prospective payment system rate increases for skilled nursing facilities.
As the Centers for Medicare and Medicaid Services (CMS) navigate what some may consider to be healthcares own modern-day Roman empire - a system undergoing ....
August 07, 2017
Healthcare Alert
New Prior Authorization Procedures by eviCore
As of June 1, 2017 eviCore was selected by Blue Cross and Blue Shield of Illinois to manage the inpatient post-acute care prior authorization process ....
July 13, 2017
Healthcare Alert
CMS Upgrades National Plan and Provider Enumeration System
In an effort to increase security and functionality, CMS has made upgrades to the National Plan and Provider Enumeration System (NPPES).
July 11, 2017
Healthcare Alert
Updated State Operations Manual (SOM) Reflects the Requirements of Participation (RoP)
CMS recently posted an advance copy of the State Operations Manual which includes all the updates and changes secondary to the revised Requirements of Participation.
June 23, 2017
As Seen In
The New York Post quoted principal Michael D'Addio in an article about the Senate healthcare bill.
The Senate health-care plan closely resembles an earlier bill passed by the House, with both dismantling key provisions of ObamaCare.
May 09, 2017
As Seen In
TheStreet.com quoted Tax Principal Michael D'Addio in an article about tax reform and the American Health Care Act.
Investors and analysts are split on what's next for taxes in light of a renewed effort on Capitol Hill to tackle health care. The House ....
April 27, 2017
As Seen In
McKnight's cited remarks by Senior Manager Marilyn Mines at the Leading Age Illinois conference, in an article about how poor documentation leads to Medicare denials.
Untimely certifications, missed or incorrectly billed Change of Therapy documentation, or a lack of documentation supporting a signed physician order for skilled therapy are among ....
March 14, 2017
Healthcare Alert
Illinois' Medicaid Managed Care Program is Moving Statewide
Recently, the Illinois Department of Healthcare and Family Services (HFS) announced that the State will be transitioning to a statewide mandatory Medicaid managed care program ....
March 14, 2017
Healthcare Alert
Massachusetts Determination of Need 2017 Revisions of 105 CMR 100
Effective January 27, 2017, the Massachusetts Department of Public Health implemented numerous revisions to the Determination of Need Program (DoN) regulations under 105 CMR 100.
March 08, 2017
Tax Flash
American Health Care Act
House Republicans released their version of health care reform this week - the American Health Care Act (AHCA).
January 31, 2017
Healthcare Alert
New Provider Complaint Portal Launched for Medicaid Managed Care
Last week, the Illinois Department of Healthcare and Family Services (HFS) launched a provider complaint portal to help providers resolve outstanding issues with individual Medicaid ....
January 16, 2017
Healthcare Alert
Updates to the Payroll Based Journal (PBJ) Manual
CMS posted an update to the PBJ Policy Manual late 2016. Only a few of the areas have changes, but they are important ones ....
January 04, 2017
Healthcare Alert
Spousal Impoverishment Amount Update
The Illinois Department of Healthcare and Family Services (HFS) issued a provider notice December 16, 2016 regarding Spousal Impoverishment.
January 04, 2017
Healthcare Alert
Proposed Rule: Payment Resolution Policy for Medicaid Recipients
On November 28, 2016, the Illinois Department of Healthcare and Family Services (HFS) issued a proposed rule to assist in resolving payment denials related to ....
December 01, 2016
As Seen In
Supervisor Melissa Korey wrote about continued Medicare coverage for skilled nursing facility residents during holiday leave, for the December issue of HCPro’s Billing Alert for Long-Term Care.
In preparing for the holiday festivities, it is essential that friends and family understand that while their loved ones are in a nursing home, they ....
November 01, 2016
As Seen In
Supervisor Elizabeth Deak contributed an article on Medicare open enrollment for the November issue of HCPro’s Billing Alert for Long-Term Care.
Each year, Medicare's open enrollment period begins October 15 and ends December 7.
October 01, 2016
As Seen In
HCPro’s Billing Alert published an article by Senior Manager Marilyn Mines about the role of the billing dept. in long-term care quality assurance and performance improvement.
For years, there were two separate quality programs in long-term care required by CMS: Quality Assurance (QA) and Performance Improvement (PI).
May 01, 2016
As Seen In
Senior Manager Marilyn Mines wrote an article about the importance of communication in the skilled nursing facility environment, for Billing Alert for Long-Term Care.
Communication is known to be the Achilles' heel of the SNF. Many errors in the business office can be traced back to poor communication.
April 05, 2016
As Seen In
Janet Potter, advisory services senior manager, was quoted by McKnight's in article about Medicare compliance standards for skilled nursing facilities.
Skilled nursing providers should be prepared for managed care to drill down on Medicare Part A residents, creating the potential for major financial problems, a ....
March 01, 2016
As Seen In
Advisory Services Senior Manager Janet Potter advises Skilled Nursing Facilities to have a strategy for integrating Medicare’s PEPPER data into their corporate compliance programs, in an article for HCPro’ s Billing Alert for Long-Term Care.
Every spring, CMS makes available the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for SNFs. The agency offers variant reports for a number of ....
January 11, 2016
State & Local Taxation
Minimizing Sales & Use Tax Obligations of Illinois Healthcare Facilities
Service providers in the State of Illinois who transfer items of tangible property incident to the services they sell are generally subject to the Service ....
December 09, 2015
Tax Return Compliance
CT Association of Residential Care Home
It's that time of year again. The time when the days begin to get shorter and the greatly awaited rate computation reports start arriving in ....
February 04, 2015
As Seen In
Michael D'Addio, Tax & Business Services Principal, Quoted in Long Island Business News Article, "The ACA Meets the IRS."
This year, for the first time, the health insurance taxpayers carry may directly affect the size of the tax refund they receive from the Internal ....
January 13, 2015
Tax Flash
New IRS Publication Explains How Individuals Report Health Care Coverage on 2014 Returns
The IRS has recently issued new Publication 5187 (Health Care Law: What's New for Individuals and Families) to cover some of the tax provisions of ....
October 06, 2014
As Seen In
Matthew Bavolack, National Healthcare Practice Leader, Quoted in Hartford Business Journal Article, "One CT Nursing Home's Path Out of Medicaid Morass."
Connecticut's reimbursement rate for its neediest nursing-home patients on Medicaid has risen just 1.2 percent in the seven years since the last increase of 2.9 ....
September 01, 2014
As Seen In
Article by David Appel, Tax & Business Services Partner, "Planning Your Estate Now Can Prevent Problems in the Future" Featured in the South Florida Hospital News and Healthcare Report
No matter what your situation, there's no time like the present to make an estate plan. Whether you have young children, are retired, or have ....
August 22, 2014
As Seen In
Article by David Glusman, Advisory Services Partner, "Co-Management: A Win-Win Model for Hospital and Physician Relationships," Featured in Philadelphia Business Journal
A recent announcement by Independence Blue Cross (IBC) emphasizes the importance of hospitals and doctors continuing to develop win-win mechanisms for working together in response ....
June 02, 2014
As Seen In
Matthew Bavolack, National Healthcare Practice Leader and Frank Miceli, New England Healthcare Practice Leader, Featured in Hartford Business Journal Article, "Taming Long-Term Care's Looming Crisis."
Q&A talks about the challenges facing the long-term care industry with Marcum LLP's Matthew S. Bavolack, principal and national healthcare practice group leader and Frank ....
May 06, 2014
Press Release
Experts Predict Perfect Storm in Long-Term Care Industry at Inaugural Marcum Long-Term Care Symposium
The long-term care industry will be challenged by exploding demand for care by a rapidly aging population, just as a massive shift from private to ....
March 24, 2014
Press Release
Marcum LLP Announces Inaugural Long-Term Care Symposium
Marcum LLP a top national accounting and advisory firm, will host the Firm's first Long-Term Care Symposium on May 5 at the Mohegan Sun ....
February 11, 2014
Press Release
Marcum Healthcare Reform Expert Responds to New Delay in Large Employer Mandate Under Affordable Care Act
Michael F. D'Addio, a Principal in the New Haven, Connecticut office of Marcum LLP and co-manager of the Firm's national Healthcare Reform Task Force, responded ....
February 05, 2014
As Seen In
Michael D'Addio, Tax & Business Services Principal, Quoted in CNBC.com Article, "The Obamacare Tax Deconstructed."
Several developments related to the Affordable Care Act will be hitting many filers in the pocketbook this tax season, but they need to keep an ....
September 30, 2013
As Seen In
Michael D'Addio's Article "Obamacare Forces Changes in Health Spending Accounts" Featured in The Hartford Business Journal
Since its enactment, the Affordable Care Act has made many changes to the rules for deducting medical expenses. Several provisions that go into effect this ....
September 04, 2013
As Seen In
Michael D'Addio, Tax & Business Services Principal, Quoted in TheStreet Network Article "The Rich and Sick Taxed to Pay for Health Care Reform"
Last week, the Treasury Department and Internal Revenue Service (IRS) issued final regulations on the individual shared responsibility provision of the Affordable Care Act (ACA) ....
February 26, 2013
As Seen In
Marcum's National Healthcare Industry Group Leaders Interviewed by The Metropolitan Corporate Counsel: "Reimbursement, Compliance And Other Challenges For Providers In Healthcare."
Editor: Please tell us about your practice areas.
February 07, 2013
State & Local Taxation
Governor's Budget for FY 2014-FY 2015 Biennium Initial Review - Nursing Facility Rates
December 07, 2012
As Seen In
David Glusman, Advisory Services Partner, Quoted in Philadelphia Business Journal Article "Renaissance Growing as ACO Provider"
Marc Malloy, after being invited to testify before the Senate Finance Committee, called up his dad earlier this year to brag a little.
June 28, 2012
Alert
Hospitals, Physicians and Others Continue to be Impacted with Supreme Court Affirmation of Affordable Care Act
June 26, 2012
Alert
Partial Funding for Connecticut Nursing Facility Property Improvements in SFY 2013 Budget
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