or Browse by Topic Sign In

Join
HFMA Membership
Join Us
More than 40,000 members value HFMA's thought leadership and practical strategies. HFMA is where you need to be.
What Is HFMA?
Explore
Get acquainted with the healthcare finance industry's leading professional association. Find out why our members rely on HFMA as their go-to source for insight and information.
Discover Your Potential
Achieve
Members have many options for helping them advance their careers. Conferences, seminars, eLearning, certification, and more -- our education and events will keep you motivated.
Education
Payment Reform
Transition Planning
Attend this May 22 webinar to learn how to plan and manage the transition from fee-for-volume to fee-for-value.
Annual Conference
ANI 2013
Manage risk, align leadership, improve care delivery. Get the best ideas out there. June 16–19.
Events
Virtual Conference
Free to HFMA members, HFMA's Virtual Conference offers in-depth programming — right from your desktop. Register today.
Publications
Mobile Access
Take hfm with You
Our hfm mobile app is available for iPhones, iPads, and Android devices. Visit your app store and search "hfma" to download.
HFM Healthcare Finance Blog
What Are They Thinking?
Get the perspectives of leading healthcare finance professionals on today's hottest issues.
Buying Decisions
New Buyer's Resource Guide
Information about leading vendors helps your buying decisions.
Forums
Free Webinar
ICD-10 Implementation
This Forum members-only webinar explains how to manage the financial risks associated with adoption of ICD-10.
Tools
Ready to Use
An ever-expanding collection of spreadsheets, policies, job descriptions, checklists, and more that you can adopt and adapt.
Expert Insight
From the Source
Forum members can submit vexing questions to a panel of experts using our Ask the Expert service.
Careers
Advance Your Career
Develop your skills, demonstrate your accomplishments, and seize new opportunities.
Resources
Job Bank
Find new employment opportunities or reach out to qualified candidates.
Certification
Expand Your Knowledge
Distinguish yourself as a leader among your peers and advance your career by earning certification in our healthcare finance programs.
Marketplace
Evaluated Products & Services
Peer Review
Get an objective third-party evaluation of products and services used in the healthcare finance workplace.
Revenue Cycle
MAP App
MAP App is a web-based application that helps organizations improve revenue cycle performance based on industry-standard metrics called MAP Keys.
Purchasing
Buyer's Resource Guide
Find suppliers and products in this comprehensive vendor directory for healthcare finance professionals.
Industry Initiatives
Health care transformed
Value Project
Financial, clinical, and administrative leaders identify key strategies to drive healthcare value.
Measure. Apply. Perform.
HFMA's MAP
Improve your revenue cycle performance through standard metrics, peer comparison, and successful practices.
New Report
Road Map for Value
New HFMA research shows value-driving practices for specific hospital types.

Ask the Expert Answers

Pose a new question to Payment & Reimbursement Forum experts

Recent Q&As

Dis-enrolling a Patient from a Group Plan While on FMLA (April 2013)
Commercial Rates for Dialysis Services (March 2013)
High-Cost Drug Carve Outs (February 2013)
CCI Edits at the Department Level(January 2013)
Retro Termination and Insurance Overpayments(January 2013)

Q&A Archive

Bad Debt

Early Out Percentage and Bad Debt Collection Agencies (January 2011)

Billings and Collection

Billing for LMSW Services in the ED (October 2012)
Negotiating Benefit Maximums (September 2012)

CDM, Charge Capture, Coding

Benchmark for Overcoding E&M (March 2012)
Best Practices for HIM Coding (March 2012)
E-Prescribing Coding (July 2012)
Labor and Delivery Admitting Category (June 2011)
Splitting Charges for Multiple OR Procedures (May 2012)

Denials Management

Adjusting Appealed Medicare Charges (February 2012)

Healthcare Legal

Legislative Requirements for Refunds (November 2010)
Small Claims Court Proceedings (February 2011)

Healthcare Payment Reform

Average PMPM Payments for Medical Homes (September 2011)

Managed Care

Adjusting and Automating Self-Pay Accounts (March 2011)
Calculating Weighted Averages in Favored Nation Clauses (March 2011)
Closed Health Plan Panels (July 2012)
How Far Can Plans Make Patients Travel? (March 2011)
Managed Care Payment Trends (April 2011)
Negotiating Reimbursement Rates (May 2012)
Overpayment/Adjustment Process for Managed Care (May 2011)
Payer Rates for Medical Groups (May 2011)
Percentage Add-On for Medicare Managed Care Claims (January 2011)
PMPM Payments for Case Management (January 2011)
Reimbursement Rates for Physician Practices (March 2012)

Medicare Reimbursement

Accepting Cash from Medicaid Patients (April 2012)
Appropriate Charging for Observation Status (April 2012)
Billing for Nonphysician Providers (January 2012)
Billing Observation Hours (July 2011)
Charging Facility Fees (February 2012)
Charging for Outpatient Services at Another Hospital (November 2011)
Does Medicare Payer APC or Lower of Actual Charges? (September 2011)
How to Post IME Payments (November 2011)
IME Payments and Terminated Residency Programs (November 2012)
Medical School and Residency Reimbursement (May 2011)
Medicare Crossovers to Medicaid Bad Debt (November 2010)
Medicare Payment for Home Health (February 2011)
Payer Requests for Medical Records (January 2012)
Small Balance Adjustments and Anti-kickback (June 2011)
When Physicians Terminate Medicare Part B Contracts (March 2011)

Quality and Cost Reporting

Achieving Transparency (January 2011)

Pose a new question to Payment & Reimbursement Forum experts

©2013 Copyright Healthcare Financial Management Association

HFMA.org is best viewed using IE9 or the latest versions of Chrome, Firefox, and Safari.