HFMA
About the Author
HFMA
Latest Work
Comparison of Final 2025 OPPS Addendum A with October 2024 Addendum A
HFMA presents a spreadsheet comparing relative weights and payment rates at the APC level, using the most recent 2025 and 2024 Addendum A spreadsheets.
2025 Final OPPS APC/HCPCS Lookup Tool
HFMA presents a spreadsheet allowing users to pull-up basic descriptive and payment information for CY 2025 OPPS APC/HCPS codes.
How regulatory shifts are shaping the future of revenue cycle operations
The healthcare industry is set for a major transformation, driven by government policies, legislative reforms, insurance updates and a continuous evolution of compliance and privacy standards that impact revenue cycle management (RCM). These developments present both challenges and opportunities for RCM teams but embracing them is crucial for healthcare organizations to thrive. Key regulatory changes…
CY 2025 OPPS/ASC Final Rule Summary
HFMA presents a detailed summary of the calendar year 2025 final rule for the Medicare hospital outpatient prospective payment system and ambulatory surgical center payment system.
Adopter Organizations
HFMA Patient Financial Communications Best Practices Adopters include 85 hospitals and 68 clinics.
CY 2025 End-Stage Renal Disease PPS Final Rule Summary
HFMA presents a detailed summary of the final rule updating the end-stage renal disease prospective payment system for CY 2025.
The strategic role of revenue cycle management in battling rising healthcare costs
Healthcare organizations are facing unprecedented operating costs, largely driven by labor and inflation. According to the American Hospital Association (AHA), “Persistent workforce shortages, severe fractures in the supply chain for drugs and supplies and high levels of inflation have collectively fueled hospitals’ costs.” The AHA also emphasized the challenges of “higher acuity care and deepening…
A people-centric approach powers successful digital transformations in healthcare
In the past few years, healthcare leaders have not only struggled with investment and adoption of new technology, but also have faced staffing shortages with nurses and physicians. Learn key questions and essential strategies to create a positive impact within your hospital or health system.
AP automation can help alleviate healthcare workforce shortages and optimize cashflow
Labor shortages will not abate anytime soon, and healthcare leaders must have a strategy in place to leverage automation to generate savings and promote operational stability. AP automation is one area ripe for opportunity.
What healthcare CFOs don’t know about cybersecurity — and what they should ask their CISOs
In 2023, the number of reported data breaches in the U.S. rose to an all-time high of 3,205, a 78% increase from 2022, while the average cost of a healthcare data breach hit $10.93 million. Read this article to learn what five key questions CFOs should ask CISOs to understand the threats and risks — and how to support resilience.