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Updating Payment Parameters, Waiver Implementing Regulations, and Improving Health Insurance Markets Final Rule Summary
HFMA presents a detailed summary of the final rule regarding the Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond.
Revamping prior authorization: How AI and automation could boost care and revenue
Prior authorization is the most time-consuming transaction for medical providers, taking up to an hour to complete manually. Find out how providers and health plans can save up to $417 million annually be automating prior authorizations.
32 Winners Receive the 2021 MAP Award for High Performance in Revenue Cycle
The Healthcare Financial Management Association (HFMA) announced the 2021 winners of the MAP Award for High Performance in Revenue Cycle, including four integrated delivery systems, 12 hospital systems, seven individual hospitals, five physician practices and four critical access hospitals.
HFMA membership hits another all-time high, exceeds 75,000 in year of 75th anniversary
After 19 straight quarters of membership growth and shattered membership records, HFMA has reached yet another milestone by surpassing 75,000 members, the Association announced today.
Healthcare News of Note: Average billed charge for complex COVID-19 hospitalizations is more than three times the allowed amount
October 2021
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Autonomous coding, it won’t hurt a bit with CodaMetrix
Coding at hospitals and health systems can take hours each day and can cost up to $7 billion in one year. However, one company encourages its use of artificial intelligence technology to reduce both cost and time of coding.
Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcements Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule amending existing regulations to implement provisions of the No Surprises Act established to protect enrollees of health plans from surprise medical bills when they receive emergency services, non-emergency services from nonparticipating providers at participating facilities, and air ambulance services from nonparticipating providers of air ambulance services under certain circumstances.
Cost Effectiveness of Health Report, September 2021
HFMA’s Cost Effectiveness of Health Report, sponsored by Kaufman Hall, is a monthly e-newsletter that will explore ways to ensure healthcare delivery in the United States is not only financially sustainable but also cost effective for all of its stakeholders — including health systems, physicians, health plans and patients. In this inaugural issue of the report, healthcare futurist Jeff Goldsmith shares his perspectives on the need for a focus on improving cost effectiveness of health as a societal imperative.
September 2018
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