The following contains information on new initiatives, ongoing projects, and other related news about and from HFMA. Please bookmark this page as it will be updated periodically.
HFMA Fact Sheet: CY14 Medicare Physician Fee Schedule Final Rule
HFMA members can get an overview of changes to the Medicare fee schedule for physician services for CY14.
Read the fact sheet.
HFMA Releases 2013 Key Hospital Financial Statistics and Ratio Medians
Operating margin, days in accounts receivable, average length of stay, and other statistics and ratios have been compiled for 2013.
See the latest collection.
HFMA Urges Support for the Stark Administrative Simplification Act (HF 3776)
HFMA urges support for the Stark Administrative Simplification Act introduced by Rep. Charles Boustany, MD, and Rep. Ron Kind.
Read our comment letter.
Enforcement of New Admissions Rule Delayed Amid Confusion
Enforcement of a controversial new Medicare admissions policy was delayed for a year after it was set to begin as federal officials sought to educate hospitals about it.
In late January, the Centers for Medicare & Medicaid Services (CMS) added six months to previously announced delays in enforcement of a new Medicare hospital admissions policy. Although the so-called two-midnight rule—which calls for physician certification that a patient requires admission for at least two nights before inpatient status is approved—was implemented in October 2013, Medicare's contract auditors will not begin enforcement of the rule until October 2014.
The new Medicare Part A payment requirements have caused widespread confusion among hospital staffs over compliance details stemming from the rule change.
Officials at CMS said they will use the ongoing delay to continue education and outreach to hospitals regarding details of the new policy. As part of that effort, the agency said Medicare administrative contractors (MACs) will continue to "probe and educate" acute care hospitals, long-term care hospitals, and inpatient psychiatric facilities on the two-midnight rule.
"More than anything, this enforcement delay benefits our members because the two-midnight rule is far more complex in its implementation than CMS anticipated," says Chad Mulvany, director of healthcare finance policy, strategy, and development for HFMA. "“Providers will have more time to learn and adjust their systems so that they can better comply with the new rule."
ACA Marketplaces Target Narrow Networks
Insurance plans sold next year in government-run health insurance marketplaces may need to include more providers than existing plans, according to changes proposed Feb.4 by the Obama administration.
The draft version of an annual letter from CMS to insurers in the marketplaces, or exchanges, created by the Affordable Care Act to sell individual and small group insurance, spelled out changes under consideration for 2015.
Among the proposed changes for marketplace plans were several provisions aimed at narrow provider networks.
"In 2014, CMS largely relied on plan accreditation and state review to ensure adequate provider networks," Tim Jost, an expert on and supporter of the 2010 healthcare overhaul, wrote in a Health Affairs blog post. "One of the biggest complaints so far about [qualified health plans], however, has been that provider networks have been too narrow."
Among its proposed changes for 2015, CMS would begin collecting plan provider lists and reviewing them to determine whether providers are available without unreasonable delay (likely based on time and distance standards). The reviews would focus on access to hospital systems, mental health providers, oncology providers, and primary care providers.
HFMA Announces Nominees for 2014-15 Board Leadership
HFMA is pleased to announce that the Association's Board of Directors has nominated Melinda S. Hancock, FHFMA, CPA, and Mary Mirabelli, FHFMA, to stand for election to the Board for the positions of Chair-Elect and Secretary/Treasurer, respectively, for the association's 2014-15 fiscal year. Learn more about Hancock and Mirabelli.
Three HFMA members have also been chosen to stand for election to the FY14-FY17 Board of Directors:
- Martin Arrick, managing director for standard & Poor's Corp., New York
- Michael J. Dewerff, FHFMA, CPA, MBA, CFO for UnityPoint health-Fort Dodge, Fort Dodge, Iowa
- Carole T. Faig, CPA, partner for Ernst & Young LLP, Houston
Board elections take place in April.
Publication Date: Monday, March 03, 2014