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News | Payment Models

Mandatory models for kidney care and oncology were among six new Medicare payment models proposed in mid-July.

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News | Medicare Payment and Reimbursement

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of July 14.

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News | Healthcare Reform

A leading congressional advocate of “Medicare for All” this week excoriated Medicare for the billing problems she dealt with during her late husband’s last years of declining health. But she insists such headaches would not follow expansion...

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News | Payment Trends

Federal policy advisers see a shift from value-based payment to policies focused on cutting provider payments.

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News | Medicare Payment and Reimbursement

Rural-state hospitals strongly back a proposed Medicare area wage index (AWI) change, but national hospital advocates are warning against it.

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Blog | Transparency

HFMA’s Chad Mulvany provides insight on the Trump Administration’s June 24 executive order aimed at improving price and quality transparency.

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Research & Reports | Accounting and Financial Reporting

Hospital executives say results of a new HFMA study are true: A range of higher-profile priorities, including simple survival, has kept their organizations from improving their cost-accounting abilities for almost a decade.

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Blog | Consumerism

Although the House Energy and Commerce Health Subcommittee approved its surprise bill legislation last week, there are other factors at play in the coming weeks that could delay further action on it.

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Trend | Partnerships and Value

Read the Summer 2019 issue of Strategic Financial Planning.

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How To | Compliance

Healthcare organizations that qualify as HIPAA covered entities should take five steps when developing a compliance program designed to meet their obligation under HIPAA to safeguard patients’ protected health information.

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How To | Compliance

The potential costs of being found noncompliant with HIPAA are too great for a healthcare provider organization not to have in place a compliance program designed to help safeguard patients’ protected health information.

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Trend | Care Management

Care management for Medicare patients accounted for more than half of the shared savings in a study of three accountable care organizations.

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How To | Utilization Management

Utilization review should work as part of a productive whole, alongside many other areas, says a former Cleveland Clinic finance executive. The function can report to finance, administration, operations, and even patient experience.

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Blog | MACRA

A review of the results of the 2018 CMS Quality Payment Program and what’s increasing the percentage of physicians participating.

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Tools & Tips | Physician Payment and Reimbursement

This document contains frequently asked questions about the Protecting Access to Medicare Act, Clinical Decision Support Mechanisms, and the Appropriate Use Criteria Section 218(b) that directed CMS to establish a program to promote consult...

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Q&A | Chargemaster

We are experiencing increased denials and loss of revenue as a result of chargemaster issues related to outpatient services coding. What steps can we take to identify the issues and clean up the chargemaster?

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Trend | Billings and Collection

The shifting healthcare landscape is turning more patients into payers.

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Blog | Electronic Health Records

Humana may be a more desirable partner for physicians interested in risk arrangements if its collaboration with Epic reduces potentially preventable ED and inpatient utilization due to increased medication adherence.

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How To | Technology ROI

Healthcare organizations should develop IT plans, measure themselves against their plans and consistently review how regulatory and product changes mandate the need for plan revisions.

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Q&A | Financial Leadership

A rural hospital CFO shares his organization’s capital finance strategies and plans to manage future change.

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How To | Financial Leadership

The new focus on CFOs as strategic business partner requires them to groom successors with broader skill sets that align with future organizational needs.

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Case Study | Revenue Cycle

For Texas Children's Hospital, a key to capitalizing on patient revenue opportunities identified by its patient access initiative was to reduce losses that arose from out-of-network insurers.

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Article | Operations Management

Hospitals facing an imminent disaster should make five calls to ensure it is fully prepared for the event's impact.

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Article | Operations Management

The utilization review and denials management functions play an important role at each transition phase in the acute care process in helping hospitals reduce patients' length of stay in acute care.

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