Marcum LLP's experience within the Healthcare industry covers the full continuum of care with a special focus within the post-acute care geriatric segments of the industry, hospitals, and physician practices.
We go beyond providing traditional audit and tax services to the industry 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 needs and providing resources to the industry through a wide area of services.
- Operation/Financial Support
- Advisory/Expert Testimony
- Assurance Services
- Tax Services
Federal, State and third party reimbursement represent the overwhelming payments received by the provider community. Marcum LLP has made it our business to maintain an updated knowledge 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.
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
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 ....
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.
January 31, 2017
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 04, 2017
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
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 ....
Each year, Medicare's open enrollment period begins October 15 and ends December 7.
For years, there were two separate quality programs in long-term care required by CMS: Quality Assurance (QA) and Performance Improvement (PI).
Communication is known to be the Achilles' heel of the SNF. Many errors in the business office can be traced back to poor communication.
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
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 ....
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 ....
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 ....
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 ....
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
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 ....
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
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 ....
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
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 ....
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 ....
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
Obamacare Forces Changes in Health Spending Accounts
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 ....
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) ....
Editor: Please tell us about your practice areas.
Marc Malloy, after being invited to testify before the Senate Finance Committee, called up his dad earlier this year to brag a little.
February 09, 2012
Slowdown in Payments Being Created by New Standards
November 07, 2011
CMS finalizes 2012 Medicare home health payment changes