How the pandemic paved the way for fraud, waste and abuse in telehealth
Emad Rizk of Cotiviti discusses the fraud, waste and abuse risks of telehealth, and Sondra Cari from sponsor Huron talks about the opportunities of revenue cycle learning.
Election Special: As the votes are tallied, we look at what the possible outcomes mean for healthcare
As the world waits for the results of the presidential election and other key races, Rich Daly and Chad Mulvany discuss what could happen in the coming months. Also in this episode, Joe Fifer interviews 4sight Health CEO Dave Johnson about what's next for hospitals after COVID-19. This episode is sponsored by TRIMEDX.
Deconstructing the CMS price transparency rule
By Jan. 1, 2021, hospitals and health systems must create and make public a list of standard charges for the top items and services they provide, per CMS. An executive discusses the challenges and opportunities this presents in this overview.
The payer episode: CMS interoperability rules and provider strategies for better conversations
Chris Hobson, from Orion Health discusses CMS’s upcoming deadline for interoperability requirements for payers and Geneva Schlabach from Vispa and Mike Duke from Baker Tilly talk about denials management.
Rep. Suzan Delbene’s value-based payment legislation and Humana’s population health milestone in Medicare Advantage markets
Rich Daly interviews Rep. Suzan Delbene about the Value in Health Care Act, proposed legislation that would make a series of hospital-supported changes to value-based programs operated by Medicare. Andrew Renda of Humana talks about how the company improved Healthy Days in Medicare Advantage markets. In a sponsored segment, MedAssist Senior Vice President Nate Allen and Carilion Clinic's Vice President of Revenue Cycle Brett Tracy discuss Medicaid expansion in Virginia.
Telehealth opportunities in oncology, and Stever Robbins shares the secret to tackling email overload
Dr. Andrew Hertler of New Century Health discusses how telehealth can help keep patients on track with cancer screenings and treatment. Also in this episode, productivity expert Stever Robbins tells us once and for all how to handle email (Hint: It's not folders.)
Self-pay A/R best practices, Stark Law with Rep. Roger Marshall and CMS’s price transparency rule
Chad Mulvany talks with members of the task force that developed recommendations around self-pay accounts receivable best practices, Rich Daly interviews Rep. Roger Marshall about his efforts to get CMS to speed up their overhaul of Stark and Antitrust laws. Gregory Adams from sponsor organization Panacea discusses some aspects of CMS's price transparency rule that hospitals might be missing.
Remote revenue cycle challenges, job hunting tips and how to share your good news with HFMA
Kim Scaccia from Wisconsin-based Mercyhealth discusses how her organization cracked the code on a remote work force. Quintin Smith from Baker Tilly talks about staying positive after a layoff. And HFMA's Jennifer Novoseletsky tells us how members can share their good news with each other. Jen's contact info: Email: [email protected] Twitter handle: @JenNovo_HFMA
The “next normal” and how to get there
Beth Kaplan of Deloitte & Touche discusses how a consistent process of assessment and adjustment can help healthcare organizations get through each phase of the pandemic and beyond. Also, HFMA Community Manager Melanie Binder announces a new Community Callout.
CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer
At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.