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CY 2026 Physician Fee Schedule Final Rule Summary Part II – MSSP Requirements
HFMA presents part two of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies. The policies in this final rule generally take effect on January 1, 2026. Part II covers the Medicare Shared Savings Program Requirements.
Survey of revenue cycle executives points to the need to move from reactive to proactive clinical documentation
Review this report to learn how to swap out the processes and technologies that don’t support an effective, sustainable approach to clinical documentation. Revenue cycle teams will get key takeaways to rethink documentation as a proactive strategy rather than a back-end fix.
Tailored solutions enhance healthcare operations and patient satisfaction
When leveraging advanced technologies, healthcare organizations can address their most pressing challenges, such as revenue cycle inefficiencies, workforce shortages and regulatory complexities. Read more about tailored solutions that handle the complexities of financial and operational processes.
Providers should evaluate vendors on alignment with mission and long-term goals
Review how one company's Complete Business Office (CBO) services optimize the revenue cycle from end–to-end to relieve health systems' pressure of fewer resources, staffing shortages, rising costs, payer complexity and regulatory demands.
CY 2026 Physician Fee Schedule Final Rule Summary – Part I
HFMA presents part one of three detailed summaries of a final rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies. Policies in the final rule generally would take effect on January 1, 2026. Part I covers sections I through III.G (except for Section III.F: Medicare Shared Savings Program Requirements) and the Regulatory Impact Analysis.
Redesigning denials management in the OBBBA era
Under OBBBA, executives face denials as a continuous operational and financial pressure. Traditional reactive approaches — reviewing and appealing after denials occur — are no longer sustainable. The organizations that succeed in this new era will use predictive analytics, automation and disciplined processes to prevent denials before they happen. The problem with the traditional model For decades,…
Reshaping revenue cycle strategy
Dive into this roundtable to read a discussion from a handful of healthcare industry leaders about how they use AI, automation and analytics to streamline revenue cycle operations, improve margins and get ahead of payment challenges.
Cutting through the clutter: Practical strategies to reduce administrative waste in payer-provider interactions
Administrative costs in healthcare continue to rise, often consuming more resources than direct patient care. Nowhere is this more visible, or more solvable, than within revenue cycle management (RCM). These costs are not just a patient care concern; they strain the workforce and directly impact financial sustainability. Much of the challenge stems from a persistent…
HFMA Comments on CY 2026 Hospital OPPS and ASC Proposed Rule
HFMA submits comments to CMS pertaining to CMS-1834-P CY 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule.
Inside SRHO’s Flawless Audit: How They Achieved Zero Findings—And How You Can Too
Discover how proactive planning and the right partner can simplify Healthcare Connect Fund audits and reduce financial risk.