HFMA

In this HFMA Executive Roundtable, six healthcare financial executives reflect on the biggest clinical supply chain challenges their organization faces and discuss what metrics are most critical to evaluating success and a return on investment (ROI) with clinical supply chain technologies.

Medicaid redetermination isn’t going smoothly. As of late December 2023, the Kaiser Family Foundation found that 71% of Medicaid disenrollments nationwide were for procedural reasons. That means patients are losing coverage because they filled out a form incorrectly or missed a deadline, not because they’re truly ineligible for renewal. Provider organizations can play a pivotal…

HFMA presents a spreadsheet comparing ASC covered ancillary services. It also includes an HCPCS lookup tool that makes it easier to pull-up descriptive and payment information for a particular code.

HFMA presents a spreadsheet for relative weights and payment rates for the Ambulatory Surgical Center payment system comparing 2024 to 2023 rates.

Hospital patient access teams are often the first encounter a patient has with the hospital. The patient access encounter sets the stage for the entire patient experience and has financial implications as well. Effective registration, eligibility verification, coverage discovery and collection workflows are required for optimal revenue cycle outcomes. Training and development have a big…

HFMA presents a detailed summary of the proposed rule published by the Employee Benefits Security Administration that would rescind the similarly titled rule finalized in 2018 (83 FR 28912) that expanded the regulatory definition of “employer” under the Employee Retirement Income Security Act of 1974.

HFMA presents an updated specialty impact tables based on the 2024 Medicare Physician Fee Schedule final rule.

HFMA presents an updated spreadsheet comparing the 2024 physician fee schedule payment rates to the 2023 payment rates.

Participants of an HFMA Executive Roundtable held June 27 discuss how healthcare providers are taking steps to encourage data sharing among units and create a single source of truth for operational and patient data.

Revenue cycle management leaders from around the country share their perspectives on defining and maintaining a high-performance revenue cycle and the challenges they face in working to enhance revenue cycle management.