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Hospital Prices Machine Readable File: Build vs Buy Guide

Download this guide to assist you as you run the numbers and study the facts to decide whether or not to build your own MRF(s).

HFMA April 16, 2024

Navigate the new norms in telehealth billing and coding practices

While telehealth has been around for decades, its adoption soared during the COVID-19 pandemic. According to the American Medical Association, telehealth use grew 70% in 2020. While the use of telehealth since then has leveled off, it remains a valuable and popular care option. More than half of patients surveyed said they prefer telehealth for…

HFMA April 4, 2024

The Payvider Movement Is Here.

This white paper examines how becoming a payvider drives additional revenue as well as strategic value.

HFMA April 1, 2024

BESLER provides thorough Transfer DRG revenue recovery services

Hospitals require clear and simple paths through the challenges posed by changing regulations so they can spend more time and dollars focusing on enhancing patient care.

HFMA April 1, 2024

Highlights of the Administration’s FY 2025 Budget

HFMA presents a summary highlighting healthcare-related proposals included in the President’s Budget for fiscal year 2025, based on materials released by the Biden Administration on March 11, 2024.

HFMA March 22, 2024

Improve Patient Refunds With A Simplified B2C Payments Solution

Download this eBook to get insights into patient refunds and a solution to streamline the process for the provider while improving the patient financial experience.

HFMA March 20, 2024

Medicaid DSH Third-Party Payer Final Rule Summary

HFMA presents a detailed summary of the final rule issued by CMS addressing legislative changes to the hospital- specific limit on Medicaid disproportionate share hospital payments that took effect on October 1, 2021, as a result of the Consolidated Appropriations Act 2021.

HFMA March 11, 2024

Navigating medical necessity denials: Strategies for successful resolution

Just as hospitals, health systems and physician practices are dealing with unprecedented financial and operational challenges, denied claims continue to rise — especially medical necessity denials. The impact on providers and patients is significant. Medical necessity is the term used to describe “healthcare services or supplies needed to diagnose or treat an illness, injury, condition,…

HFMA March 8, 2024

Healthcare Financial Management Association calls Patient Rights Advocate’s latest price transparency compliance report ‘irresponsible’

CHICAGO (March 7, 2024) – Long an advocate for consumerism and price transparency in healthcare, the Healthcare Financial Management Association (HFMA) today called the latest report from Patient Rights Advocate (PRA) “irresponsible” and “incorrect.” HFMA has maintained that to be effective, price transparency must offer clear information that is readily accessible to patients to enable them to…

HFMA March 6, 2024

Health Systems near their breaking point. Labor costs continue to increase while dollars collected from payers decrease.

CHICAGO — March 6, 2024 — Eighty four percent of health systems cite lower reimbursement from payers as a top cause of low operational margins, according to a report published by the Healthcare Financial Management Association (HFMA) and Eliciting Insights, a healthcare strategy and market research company. Further confounding health system margin struggles is the increased administrative…

HFMA March 6, 2024