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Revenue cycle sustainability demands more than cost-cutting
In this roundtable several revenue cycle management and finance leaders share their top challenges associated with revenue cycle transformation and lessons learned.
From reactive denial management to upstream prevention
Denials are usually discovered after adjudication. The revenue loss, however, often begins much earlier. Hospitals continue to invest significant time and resources in denial management, yet roughly 15% of claims are initially denied. Hospitals spend nearly $19.7 billion each year appealing them and only about half of those denials are ultimately overturned. That raises a…
HFMA Comments on CY 2027 Hospital OPPS and ASC Proposed Rule
HFMA presents its comment letter to CMS on the CY 2027 Hospital OPPS and ASC Proposed Rule.
Integrating human-enabled AI emerges as key consideration for revenue cycle
In this roundtable, healthcare revenue cycle leaders and executives explore how to move toward thoughtful AI adoption that makes an impact in protecting revenue integrity.
When healthcare navigation needs clinical accountability
Healthcare navigation has become an important part of the employer benefits strategy. It can help employees understand coverage, find in-network providers, schedule appointments and work through administrative barriers. But access support and clinical care management solve different problems. That distinction matters when an employee’s need involves symptoms, medication concerns, a recent hospitalization or a worsening…
FY 2027 Final IPPS MS-DRG Rate Comparison to FY 2026 Rates
HFMA presents a spreadsheet comparing the FY 2027 IPPS final rule relative weights and standardized amounts with the final FY 2026 weights and rates.
FY 2027 IPPS/LTCH PPS Final Rule Summary
HFMA presents a detailed summary of the FY 2027 Medicare inpatient prospective payment system and long-term care hospital prospective payment system final rule published in the Federal Register on August 4, 2026.
Transparency in Coverage and Payer Contracting Strategy Survey Analysis
Download key findings from a report sponsored by Trek Health.
CY 2027 Physician Fee Schedule Proposed Specialty Impact Tables
HFMA presents a spreadsheet containing a detailed specialty impact analyses based on the 2027 Medicare Physician Fee Schedule proposed rule.
FY 2027 Inpatient Psychiatric Facilities PPS Final Rule Summary
HFMA presents a detailed summary of the final rule updating prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities.