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HFMA
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AI and Automation in Revenue Cycle Research
A survey of 272 healthcare executives was conducted to understand how automation and AI are being utilized in their organizations and if not, what barriers or concerns they have to adopting new technologies.
HFMA and Third Horizon launch price transparency data tool Starset Analytics
Exclusive to HFMA Enterprise Solution Provider Members, the tool transforms complex pricing data into actionable insights for negotiation, benchmarking and strategy. CHICAGO (Sept. 29, 2025) – The Healthcare Financial Management Association (HFMA) and Third Horizon today announced the launch of Starset Analytics, a new toolset that helps hospitals unlock the full potential of price transparency…
Contract Year 2026 Medicare Advantage Plan Provider Directory Data Requirements Final Rule Summary
HFMA provides a detailed summary of the final rule finalizing a previously proposed Medicare Advantage plan provider directory requirement.
HFMA Comments on Revisions to Payment Policies under the CY 2026 Medicare PFS, Quality Payment Program and Other Revisions to Part B
HFMA submits comments pertaining to Proposed Rule CMS-1832-P Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2026.
Boost charge capture by bridging gaps between teams
This whitepaper identifies some of the most common underlying issues driving charge capture mishaps — and outlines a new path forward optimizing charge capture.
FY 2026 Hospice Payment Rate Update Final Rule Summary
HFMA presents a detailed summary of the final rule updating the Medicare hospice payment rates, wage index, and Hospice Quality Reporting Program for FY 2026.
CY 2026 Physician Fee Schedule Proposed Rule Summary Part III – Quality Payment Program Updates
HFMA presents part III of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies.
Health system adoption of AI outpaces internal governance and strategy
CHICAGO – Aug. 12, 2025 – Eighty-eight percent of health systems are using Artificial Intelligence internally, and 71% have identified and deployed pilot or full solutions in finance, revenue cycle management or clinical functional areas, according to a new report published by the Healthcare Financial Management Association (HFMA) and Eliciting Insights, a healthcare strategy and market research company. Despite…
CY 2026 Proposed OPPS APC/HCPCS Lookup Tool
This spreadsheet is a tool that allows the user to pull-up basic descriptive and payment information for an APC or HCPCS code. The Proposed OPPS APC/HCPCS lookup tool spreadsheet contains the following tabs:
Comparison of Proposed 2026 OPPS Addendum B with July 2025 Addendum B
This spreadsheet compares relative weights and payment rates at the HCPCS level, using 2026 OPPS proposed rule Addendum B compared to 2025 Addendum B (July 1, 2025 file), as downloaded from the CMS website. Spreadsheet cells highlighted in yellow were calculated by HFMA; all other information is from CMS. The Addendum B spreadsheet contains these…