HFMA
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HFMA
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FY 2027 Inpatient Rehabilitation Facility PPS Final Rule Summary
HFMA presents a detailed summary of the FY 2027 final rule updating the Medicare inpatient rehabilitation facility prospective payment system.
From data capture to denial prevention: Strengthen patient access upstream
Revenue loss is often discovered after adjudication, but the conditions that created it may have entered the account days or weeks earlier. An outdated coverage record, missing authorization or unresolved identity mismatch can pass through patient access and surface only when payment is delayed. By then, the organization is managing rework rather than preventing it.…
CY 2027 Physician Fee Schedule Proposed Rule Summary Part III – Quality Payment Program
HFMA presents Part III of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2027 and other revisions to Medicare Part B policies.
CY 2027 Physician Fee Schedule Proposed Rule Summary Part II – MSSP Requirements
HFMA presents Part II of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2027 and other revisions to Medicare Part B policies.
Overcoming mid-revenue cycle bottlenecks: Leaders share tips for improvement
Several healthcare industry leaders were brought together to discuss the challenges they’re facing within the mid-revenue cycle. Dive into this roundtable that explores how these leaders are using AI and other solutions to uncover bottlenecks and future-proof the revenue cycle while minimizing administrative burden.
Comparison of Proposed 2027 OPPS Addendum B with July 2026 Addendum B
HFMA provides a spreadsheet comparing relative weights and payment rates at the HCPCS level, using proposed rule Addendum B compared to 2026 Addendum B.
CY 2027 Proposed OPPS APC/HCPCS Lookup Tool
HFMA provides a spreadsheet that is an OPPS APC/HCPCS lookup tool that allows the user to pull-up basic descriptive and payment information for a code.
CY 2027 Physician Fee Schedule Proposed Rule Summary – Part I
HFMA presents part I of three detailed summaries of a prosed rule relating to the Medicare physician fee schedule for CY 2027 and other revisions to Medicare Part B. policies. Part I covers sections I through III.I (except for Section III.G: Medicare Shared Savings Program Requirements) and the Regulatory Impact Analysis.
Beyond outsourcing: The strategic value of global RCM
Revenue cycle management is no longer just billing. For hospitals and health systems, it now directly shapes financial performance, operational stability and the ability to invest in patient care. Pressure is coming from every direction. Payer rules continue to change. Prior authorization remains burdensome. Documentation standards are more demanding. At the same time, patients are…
Comparison of Proposed 2027 OPPS Addendum A with July 2026 Addendum A
HFMA provides a spreadsheet comparing relative weights and payment rates at the APC level, using the 2027 OPPS proposed rule Addendum A compared to 2026 Addendum A.