<?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0"><channel><title><![CDATA[Olschanski Consulting]]></title><description><![CDATA[My Site]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/blog</link><generator>RSS for Node</generator><lastBuildDate>Sat, 05 Sep 2026 10:01:40 GMT</lastBuildDate><atom:link href="https://samanthaolschanski.wixstudio.com/sandbox/blog-feed.xml" rel="self" type="application/rss+xml"/><item><title><![CDATA[Navigating the Timeline of Hospital-Based Outpatient Therapy Claims]]></title><description><![CDATA[Why Therapy Claims Take Months to Reach Zero Balance The lifecycle of hospital-based outpatient physical, occupational, and speech therapy claims is complex, often taking months to reach a zero balance. Unlike standard inpatient stays, outpatient therapy involves ongoing billing cycles where multiple claims are generated over weeks or months. This extended duration naturally stretches the administrative timeline, as providers must continuously document, code, and submit sequential claims...]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/post/navigating-the-timeline-of-hospital-based-outpatient-therapy-claims</link><guid isPermaLink="false">6a75eccfd14623d43d4083f4</guid><category><![CDATA[Revenue Cycle & Reimbursement]]></category><pubDate>Fri, 07 Aug 2026 14:36:05 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/21276e9bb2a04809a76f2a7bfe161219.jpg/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Kelly Bucci</dc:creator></item><item><title><![CDATA[The Big Four: The Most-Billed CPT Codes in Outpatient Therapy]]></title><description><![CDATA[Not That Big Four Although "The Big Four" is most commonly known as the four largest global accounting and professional services firms — Deloitte, PwC, EY, and KPMG — today I'm referring to the four most used CPT/HCPCS codes in outpatient therapy. Where This Data Comes From Each year CMS publishes the "Top 200 Level I Current Procedural Terminology/HCPCS Codes Ranked by Services." It ranks the CPT/HCPCS codes most frequently billed to Medicare Part B. Most are surprised to learn that the four...]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/post/the-big-four-the-most-billed-cpt-codes-in-outpatient-therapy</link><guid isPermaLink="false">6a75e2830fa11b8d5e455537</guid><category><![CDATA[Industry Trends & Advocacy]]></category><pubDate>Fri, 07 Aug 2026 13:55:05 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/e0d463_539d30663c884e0684ec309e571326a8~mv2.jpg/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Patrick Slotman</dc:creator></item><item><title><![CDATA[The Real Cost of Care: Navigating a Decade of Outpatient Therapy Reimbursement Cuts]]></title><description><![CDATA[A Decade of Shrinking Medicare Payments Navigating the financial landscape of healthcare has never been simple, but for outpatient physical, occupational, and speech therapy providers, the last ten years have felt like an uphill battle against a shrinking bottom line. For over a decade, CMS has steadily chipped away at payment rates under the Medicare Physician Fee Schedule (MPFS). What started as minor budgetary adjustments has snowballed into a compounding, multi-year reduction in real...]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/post/the-real-cost-of-care-navigating-a-decade-of-outpatient-therapy-reimbursement-cuts</link><guid isPermaLink="false">6a75de2bd14623d43d405e9d</guid><category><![CDATA[Regulatory & Compliance]]></category><category><![CDATA[Revenue Cycle & Reimbursement]]></category><pubDate>Fri, 07 Aug 2026 13:35:59 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/65003d32e28f48a1b41168ec741901ca.jpg/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Kelly Bucci</dc:creator></item><item><title><![CDATA[What does a “high performing” outpatient therapy budget actually look like? ]]></title><description><![CDATA[Why "It Depends" Is the Right Answer—At First We’re often asked, “What does a high-performing outpatient therapy budget actually look like?” And our answer is always the same, “It depends.” It depends on many factors specific to your organization. Things like your staffing makeup, patient population, payor mix, treatment philosophy, scheduling model, etc.  Outpatient Therapy Doesn't Have to Run on Thin Margins It’s a fact that every hospital-based therapy department has foundational,...]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/post/what-does-a-high-performing-outpatient-therapy-budget-actually-look-like</link><guid isPermaLink="false">6a75db387e238b0b8add4d59</guid><category><![CDATA[Financial Operations & Budgeting]]></category><pubDate>Fri, 07 Aug 2026 13:28:08 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/14b687731c3f4f58a9de074e9c45701d.jpg/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Patrick Slotman</dc:creator></item><item><title><![CDATA[Who Owns Cancellations and No-Shows?]]></title><description><![CDATA[The short answer: It is primarily a clinical team responsibility, supported by the front desk—not the other way around.  The common, but flawed, model we often see:  Front desk à scheduling, reminders, rescheduling  Clinicians à “just treat whoever shows up”  This typically results in:  High cancellation and no-show rates (>15%)  Low patient engagement  Blame gets pushed to “patients” or “scheduling” High-performing departments shift ownership.  Service Value The Clinician becomes the primary...]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/post/who-owns-cancellations-and-no-shows</link><guid isPermaLink="false">6a75d8adf605b59da3eb7333</guid><category><![CDATA[Financial Operations & Budgeting]]></category><pubDate>Fri, 07 Aug 2026 13:15:08 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/22121faa66c340d08c8bf5b419658ca6.jpg/v1/fit/w_1000,h_1000,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Patrick Slotman</dc:creator></item><item><title><![CDATA[Why We Built Ripple HLTH]]></title><description><![CDATA[Most hospital-based outpatient therapy departments are leaving significant revenue on the table. Not because of demand—but because of poor operations. That’s why we built Ripple HLTH. The Business Acumen Gap in Clinical Training Physical, occupational and speech therapists invest large portions of their lives learning to treat patients while earning their professional degrees. And even so, nearly every licensed clinician enters the workforce with little to no business acumen. And it’s not...]]></description><link>https://samanthaolschanski.wixstudio.com/sandbox/post/why-we-built-ripple-hlth</link><guid isPermaLink="false">6a75d664421979b2d9710883</guid><category><![CDATA[Financial Operations & Budgeting]]></category><pubDate>Fri, 07 Aug 2026 13:05:05 GMT</pubDate><enclosure url="https://static.wixstatic.com/media/e0d463_89355acb7eb74e15a82a5411a7a08ef4~mv2.png/v1/fit/w_768,h_512,al_c,q_80/file.png" length="0" type="image/png"/><dc:creator>Patrick Slotman</dc:creator></item></channel></rss>