HFMA
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HFMA
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Medicaid Program; Closing a Health Care-Related Tax Loophole Final Rule Summary
HFMA presents a detailed summary of a final rule published by CMS to address what it describes as a loophole in a regulatory statistical test applied to state proposals for Medicaid tax waivers.
Comparison of 2026 ASC Addendum BB with October 2025 Addendum BB
This spreadsheet compares ASC covered ancillary services integral to covered surgical procedures. The spreadsheet also includes an HCPCS lookup tool that allows the user to pull-up basic descriptive and payment information for a HCPCS code.
Comparison of 2026 ASC Addendums AA and FF with October 2025 Addendums
HFMA presents a spreadsheet for relative weights and payment rates for ASC covered surgical procedures at the HCPCS level, comparing 2026 to 2025 rates.
MACPAC January 2026 Public Meeting Summary
HFMA presents a detailed summary of the Medicaid and CHIP Payment and Access Commission’s (MACPAC’s) public meeting held on January 29-30, 2026.
From back office to balance sheet: Why revenue cycle is becoming strategic AI infrastructure
Healthcare finance leaders are confronting a new reality: Revenue cycle performance now directly influences organizational stability, capital planning and access to care. Rising denial rates, expanding prior authorization requirements and persistent staffing constraints have transformed revenue operations from a transactional function into a strategic enterprise capability. Recent reporting from Kaufman Hall shows denials and revenue…
How CareCloud is modernizing MAP App to elevate revenue cycle insights and performance
MAP App was developed by HFMA for credible measurement of revenue cycle performance, ensuring apples-to-apples benchmarks across peer groups and actionable opportunities. While CareCloud now owns the application, MAP App benchmarks, MAP Keys and insights continue to be driven by HFMA’s trusted standards, ensuring an objective view of performance regardless of the systems an organization uses.
How to maintain accurate coding amid staff shortages
Find out how one company pairs expert coding with technology-enabled workflows and rigorous quality checks to help organizations reduce denials, improve accuracy and maintain predictable revenue — allowing teams to stay focused on delivering excellent patient care.
Tips for healthcare leaders on choosing the right RCM partner
Read about how one company enables healthcare leaders to focus on strategic priorities — expanding access to care, improving patient experience and sustaining financial health.
7 Steps to Success: Proactive Denials Management and Prevention
Research demonstrates that 90% of denials are avoidable. Download this eBook to learn about a strategic approach to shift from reactive recovery to proactive prevention.
How price transparency improves patient trust and collection rates
Price transparency in healthcare has moved well beyond being a regulatory obligation. In today’s consumer-driven environment, it has become a strategic capability that directly influences patient trust, access to care and revenue cycle performance. Patients increasingly expect clear, upfront information about what care will cost, what their insurance will cover and what they will be…