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5 opportunities to unlock revenue through better compliance management in the midcycle
Hospitals and health systems are facing unprecedented challenges. Inflation, rising costs and razor-thin margins have caused many to shutter service lines, lay off non-patient-facing employees or even close entire facilities. These drastic measures might be avoidable if organizations could find opportunities to improve financial viability in other ways. Identifying and addressing noncompliance in the midcycle…
HFMA Comments on Federal Independent Dispute Resolution Operations, Proposed Rule
HFMA presents its comment letter on CMS’ Federal Independent Dispute Resolution Operations Proposed Rule.
CY 2024 Physician Fee Schedule Final Rule Summary Part III – Quality Payment Program Updates
HFMA presents part III of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2024 and other revisions to Medicare Part B policies. Part III covers the updates to the Quality Payment Program.
CY 2024 Physician Fee Schedule Final Rule Summary Part II – Medicare Shared Savings Program Requirements
HFMA presents part II of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2024 and other revisions to Medicare Part B policies. Part II covers the Medicare Shared Savings Program Requirements.
CY 2024 Physician Fee Schedule Final Rule Summary – Part I
HFMA presents part I of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2024 and other revisions to Medicare Part B policies.
HFMA Aligns with FinThrive to Introduce the Industry’s First Revenue Cycle Management Technology Adoption Model for Health Systems
CHICAGO — Nov. 30, 2023 — The Healthcare Financial Management Association (HFMA) announces a strategic alliance with FinThrive, Inc., a healthcare revenue cycle management software-as-a-service (SaaS) provider, to co-launch a five-stage Revenue Cycle Management Technology Adoption Model (RCMTAM) designed to help health systems leverage industry benchmarks to assess their current state of RCM technology maturity…
Remedy for the 340B-Acquired Drug Payment Policy Final Rule Summary
HFMA presents a detailed summary of the final rule released by CMS describing its actions to craft a remedy relating to the adjustment of Medicare payment rates for drugs acquired under the 340B Program from calendar year 2018 through September 27, 2022.
Decoding revenue cycle management: Top coding questions providers ask
Quality coding is vital to a healthy revenue stream. Each member of the coding team must possess the skills and knowledge necessary to capture detailed and precise information regarding patient encounters, procedures, diagnoses and treatments. Because incorrect coding falls under the “fraud and abuse” category of the American Medical Association’s Principles of CPT Coding, penalties can…
Research Summary: 2024 Digital & IT Investment Trends
HFMA, with sponsorship from Guidehouse, surveyed 144 healthcare executives to understand their digital and IT investment priorities going into 2024. The survey found that 85% expected their organization’s digital and technology budget to increase in 2024. The top three priorities for investment included: cybersecurity infrastructure, EHR integration and modernization, and digital front door or virtual…
PMMC uses best-in-class solutions to help clients navigate the challenges of healthcare finance
Read some key insights from a company that helps organizations understand how to maximize their net revenue using strategy and consultation.