HFMA
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HFMA
Latest Work
Medicare Part B Inpatient Billing in Hospitals Proposed Rule Fact Sheet ;reasonable and necessary;Medicare Part A claim denial;inpatient admission
This fact sheet highlights the CMS's proposed rule, Medicare Program; Part B Inpatient Billing in Hospitals, which would revise the current billing policy under Medicare Part B following a denial of a Medicare Part A inpatient claim for services not reasonable and necessary.
CY13 Medicare Physician Fee Schedule Final Rule Fact Sheet
CMS has issued a final rule regarding revisions to payment policies under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).
CY13 OPPS Final Rule Fact Sheet
This fact sheet provides information on the updates to Medicare payment rates for hospital outpatient services paid under the outpatient prospective payment system and the ambulatory surgical center payment system for calendar year 2013.
Providence’s Revamped Billing Statements Led to Quicker Payment
Providence Health System developed a patient billing statement that encourages faster payment.
Networking Events
Listen to past webinar recordings on consumerism, developing health service pricing, managing third-party liability claims, patient access, and more.
HFMA’s Comment Letter to CMS on Hospital Value-Based Purchasing
HFMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the weighting of the HCAHPS domain within the CMS Hospital Value-Based Purchasing Program.
Early, Transparent Financial Communications
A PATIENT FRIENDLY BILLING® Project Recommended Practice. This statement specifically addresses patients' rights to understand and prepare for their financial obligation at the earliest point possible in the care experience.
Ask the Expert: Real-Time Coding Scrubber
This Revenue Cycle Forum Ask the Expert question asks if there is a real-time coding scrubber option out there.
Ask the Experts Answer: Cost-to-Collect Calculations
Q: We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.
Ask the Experts Answer: Urgent Care Center
Q: We are opening an urgent care center that will be hospital-based. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices.