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News
News | Payment Trends

ACA tax drove 2018 healthcare spending acceleration, CMS actuaries find

National healthcare expenditures in 2018 increased slightly overall but declined as a share of the economy, according to a report from the CMS Office of the Actuary.

By Rich Daly, HFMA senior writer and editor
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News | Medicare Payment and Reimbursement

OPPS final rule keeps site-neutral payments and 340B cuts; finalizes transparency requirements separately

The controversial major hospital payment cuts in the Outpatient Prospective Payment System (OPPS) final rule were retained from the proposed rule even though hospitals successfully have challenged them in federal court.

By Rich Daly
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News | Healthcare Reform

Dec. 9-13: Hearing on proposals to expand government insurance coverage is among upcoming healthcare finance events

A complete listing of healthcare finance-related hearings, conferences, webinars, public forums and deadlines for the week of Dec. 9.

By Rich Daly, HFMA senior writer and editor
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News | Health Plan Payment and Reimbursement

Upside-only pay surges as risk-based pay, clinical results remain flat, scorecard finds

Bonus-based value payment models have proliferated among employer health plans, while risk-based payment and performance on clinical quality indicators have not changed significantly, according to a recently published scorecard.

By Rich Daly, HFMA senior writer and editor
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News | Physician Payment and Reimbursement

Medicare reopens deadline for providers to signal interest in direct contracting

Primary care physicians will have another chance to apply and participate in the delayed Direct Contracting model with Medicare.

By Rich Daly, HFMA senior writer and editor
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Topics
Blog | FASB and GASB Rules and Guidelines

Analysis: Health systems likely to continue to issue bonds at a feverish pace

Health systems are likely to continue to issue bonds right now for two reasons, including taxable and tax-exempt interest rates that are too good to miss.

By Chuck Alsdurf
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Article | Cost of Care

Craneware: Demystifying the costs of care

A leading chargemaster company discusses its commitment to helping healthcare organizations understand their total cost of care and make strategic decisions to grow and protect margin.

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Blog | Innovation and Disruption

Retailers partnering with healthcare companies to expand access

A review of newly announced partnerships between Walgreens and United Healthcare and Kroger and Ascension.

By Chad Mulvany
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Blog | Population Health Management

Analysis: Taking healthcare to the street is effective for patients and reduces healthcare costs

Healthcare can be more medically effective and cost effective by removing barriers, establishing relationships and engaging patients with interventions that begin where the patient is, including living on the streets.

By Katie Gilfillan
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Podcast | Legal and Regulatory Compliance

Price Transparency: What to Know About the CMS Final Rule

The podcast team breaks down the recently issued CMS final rule around price transparency. Also, a rural health system in South Dakota discusses how it transformed its revenue cycle by focusing on self-pay patients.

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Article | Medicare Compliance, RAC, OIG

BESLER: Full-service Transfer DRG revenue recovery

BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.

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How To | Cost Reduction

The price of innovation: 3 steps for managing specialty drug costs

Health plans can help control the cost of specialty drugs by communicating with providers about appropriate treatments, integrating coordination of pharmacy and medical benefits and implementing fixed-price models.

By Emad Rizk, MD
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Trend | Operations Management

5 areas where hospitals can improve both financial performance and patient care

Data Trends: CMS data in the Medicare Provider Analysis and Review file indicates U.S. hospitals' average loss per admission increased 5% from 2016 to 2018.

By Jan Welsh
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Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2020 Physician Fee Schedule Final Rule Summary Part I

This document summarizes the CY 2020 Medicare Physician Fee Schedule final rule, published by CMS in the November 15, 2019, Federal Register.

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Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2020 Physician Fee Schedule Final Rule Summary Part 2: Updates to the Quality Payment Program

This document summarizes Quality Payment Program (QPP) updates contained in the CY 2020 Medicare Physician Fee Schedule final rule, published by CMS in the November 15, 2019, Federal Register. The finalized policies generally will take effe...

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Trend | Revenue Cycle

Revenue Cycle Strategist December 2019

The December 2019 issue of Revenue Cycle Strategist features articles on building a chargemaster, new coding changes for 2020, revenue integrity, evaluating and management charges and patient financing.

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How To | Coding

E/M coding changes require education and technology updates

In 2021, major evaluation and management code changes will be implemented for new and established patient office visits.

By Jennifer Swindle
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Article | Revenue Cycle Technology

Parallon: Helping providers tackle complex revenue cycle challenges

A leading revenue cycle management company talks about how it partners with healthcare organizations to use technology for optimizing financial performance and enabling patient-centric financial interactions.

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Article | Revenue Cycle Technology

Top revenue cycle challenges and opportunities

Important learnings from a September 2019 HFMA study about the impact of EHRs, consumer self-pay and IT budgets on revenue cycle operations.

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Column | Staff Development

Maryland Chapter member takes on three new roles

A Maryland Chapter member retired from her full-time career to take on three new professional roles. Plus, Board members across different Chapters share new life updates.

By Jennifer Novoseletsky
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Column | Leadership

This holiday season, let’s celebrate the everyday healthcare heroes

From the President: HFMA President and CEO Joe Fifer reflects on the invaluable contributions of the people on the frontlines of our healthcare system.

By Joseph J. Fifer, FHFMA, CPA
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HFM
Column | Staff Development

Region 5 members partake in service projects

HFMA’s Region 5 members are in the giving mood and spirit, participating throughout the year in both regional and individual Chapter service project.

By Jennifer Novoseletsky
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Trend | Financial Leadership

The most pressing ethical issues in healthcare

Healthcare leaders say these ethical concerns are top of mind today.

By Laura Hegwer
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Trendsetter | Payment Trends

Taking the sting out of patient bill payment

An innovative technology startup talks about its free, user-friendly bill payment app and how it can help healthcare organizations provide a simpler way for patients to pay.

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Community

  • Succeeding with bundled payment
    Eric Reese Posted 1 day ago

    The December issue of hfm has a case study about a community hospital in Pennsylvania, Abbington Hospitals, which attributes its success under the BPCI-Advanced model to setting specific goals it set for its participation in the model. Here is a link to the article:

    https://www.hfma.org/topics/hfm/2019/december/4-goals-for-bundled-payment-how-a-hospital-succeeded-under-bpcia.html

    What would you add to the list of key success factors for organizations participating in BPCI-A? 

     

    Read More

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  • New to Revenue cycle Management

    Tiffany Smith Posted 11 days ago

    Hi everyone. My name is Tiffany and I am pretty new to the hospital world side of Revenue Management. I finished my degree next semester, have my CRCR from here and got my first hospital job this year. The position I hold is the collections manager.  One of the duties that fall to me is being in charge of the chargemaster. I now that CPT codes are always updating and changing. What I don't know is where to gather this information. Does anyone have any tips? 

    Thank you,

    Tiffany Smith 

    Read More

    1

  • Capitalized Salaries
    Autumn Araujo Posted 13 days ago

    Hello!

    We are looking into how companies are capitalizing salaries.  We have some salaries that are capiatalized via manual journal entry (facilities), and are wondering if anyone is able to automate this through payroll and their ERP system.  We have tried in the past, and ran into issues. Please describe your process, and share what system you are using. We are currently using the non-cloud based version of Infor/Lawson.

    Best,

    Autumn Araujo

    Director, Tax & Accounting

    Sharp HealthCare

    Read More

    0