Scott Mertie's Articles

Kraft Healthcare Consulting LLC president Scott Mertie has been appointed to the board of directors for the Nashville Health Care Council for 2020-2021. Scott is one of 15 new members chosen for the board.

The Nashville Business Journal’s annual list recognizes the area’s most influential professionals in the healthcare industry.

Vic Alexander, Lucy Carter, Dana Holmes, Scott Mertie, and Gina Pruitt are among Middle Tennessee’s healthcare leaders chosen for the new InCharge Health Care publication.

Members of Kraft Healthcare Consulting in Nashville traveled to Boston to learn about innovation at Leadership Health Care’s delegation.

Scott’s debut on the NBJ’s annual Most Admired CEOs list follows his recent recognition in the publication’s Power Leaders in Accounting, as well as their Health Care Awards.

The six chosen are among 50 from Middle Tennessee selected for the Nashville Business Journal’s annual listing of financial industry leaders.

The annual awards presented by the Nashville Business Journal help recognize the region’s biggest influencers in the healthcare industry.

KHC’s Scott Mertie and Katie Reid teamed up with the AIHC to create a specialized training program and credential for cost reporting professionals. The pair will lead the training, which kicks off with a session in Nashville on March 12 and 13.

Vic Alexander, Lucy Carter, Dana Holmes, Scott Mertie, and Gina Pruitt are among healthcare leaders singled out for the new InCharge Health Care 2019 publication.

Less than two months into President Donald Trump’s White House tenure, the Nashville Health Care Council’s Leadership Health Care (LHC) initiative led a group of more than 100 healthcare leaders on its annual two-day delegation to Washington, D.C.

Scott R. Mertie and Katie Reid of Kraft Healthcare Consulting, LLC (KHC) were selected by the German American Chamber of Commerce® of the Midwest, Inc. (GACC Midwest) to participate in an exclusive international health and technology delegation in Germany.

The Nashville Business Journal (NBJ) recently announced its 2017 list of the finance industry’s “Power Leaders.”

The Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is issued by providers (including independent laboratories, home health agencies, and hospices), physicians, practitioners, and suppliers to Original Medicare (fee for service) beneficiaries in situations where Medicare payment is expected to be denied.

Healthcare systems are seeing global transformation, with governments and providers trying to reconcile increased costs with rising demand for greater accessibility and higher-quality care. In March, Scott Mertie, president of Kraft Healthcare Consulting, LLC, participated in the Nashville Health Care Council’s 2017 International Health Care Study Mission to the United Kingdom.

KraftCPAs has earned the designation of HITRUST CSF Assessor through the Health Information Trust Alliance (HITRUST).

Is your practice experiencing a decline in net income? Do daily operations feel chaotic with complaints from patients about wait times, billing, etc.? Perhaps your practice is running smoothly enough, but you feel that things could be better.

Leadership Health Care (LHC), an initiative of the Nashville Health Care Council to nurture the talent of Nashville’s emerging health care leaders, has announced its 2016 award winners in the categories of Health Care Emerging Leader of the Year, Ambassador of the Year and Supporting Organization of the Year.

Throughout the years, Scott Mertie, president of Kraft Healthcare Consulting, LLC (KHC), has attended healthcare delegations to China and multiple European countries that have government-run healthcare systems. While Scott was visiting the Republic of Cuba on a personal excursion earlier this year, he envisioned a trip where the activities would allow him to explore the country’s national healthcare system.

Modifier -59, Distinct Procedural Service – “the go-to,” “catch-all,” “covers everything” modifier, has finally received a much needed update.

Professional services provided on or after Sept. 10, 2013, will be allowed by CMS to use the 1997 Documentation Guidelines (DG) concerning the extended History of Present Illness (HPI) in conjunction with the 1995 guideline for extended HPI.

Scott Mertie was part of a delegation of approximately 30 healthcare leaders to visit Paris in April — a trip spearheaded by the Nashville Health Care Council (NHCC).

The Centers for Medicare & Medicaid Services (CMS) released Medicare Fee-For-Service Recovery Audit Program Myths.

Leadership Health Care (LHC), an initiative of the Nashville Health Care Council to nurture the talents of future health care leaders, has announced its 2012 award winners in the categories of Health Care Emerging Leader, Volunteer of the Year and Supporting Organization of the Year.

Healthcare providers are justifiably worried about cuts in reimbursement, but some are finding other services they already perform that can add legitimate revenue to the business if they are coded properly. As the healthcare industry coding system evolves, it is critical to understand code changes along with the relative reimbursement value of each change.

Despite opposition from the American Medical Association, the Medical Group Managers Association and numerous state specialty societies, The Centers for Medicare & Medicaid Services has approved RAC review of E/M services.

Superbills aren’t necessarily supposed include every code a physician might report. The superbill is typically a one-page reference of the most common codes used in a particular practice.

The Electronic Health Record Initiative program established by the Centers for Medicare and Medicaid Services (CMS), for eligible healthcare professional and facilities, is being implemented, and CMS is preparing to begin compliance audits related to the “meaningful use” reporting rules.

CMS issued a proposed rule for comments on “Reporting and Returning of Overpayments”. This rule, if finalized, would require persons (providers and suppliers) to “report and return overpayments by the later of the date which is 60 days after the date on which the overpayment was identified; or any corresponding cost report is due, if applicable.”

What happens after a patient leaves a facility can have a huge impact on reimbursement.

CMS has announced that their contracted Recovery Audit Contractors will focus their attention on Inpatient Rehabilitation Facilities (IRFs) in 2012 to determine if IRFs are submitting data compliantly.

Catholic Health Initiatives – Iowa (CHI) received a summary judgment in their favor from the District Court for Washington D.C. related to their FYE: June 30, 1997 cost report.

Scott Mertie traveled to London, England and Edinburgh, Scotland on a Health Care Study Mission.

Scott Mertie and Kevin Crumbo accompanied Governor Bredesen and Economic Community Development Commissioner Matt Kisber on individual trade missions to China and Japan.