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News | Payment Trends

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.

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News | Medicare Payment and Reimbursement

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.

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News | Healthcare Reform

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

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News | Health Plan Payment and Reimbursement

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.

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News | Physician Payment and Reimbursement

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

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Blog | FASB and GASB Rules and Guidelines

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.

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Article | Cost 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

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

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Blog | Population Health Management

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.

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Podcast | Legal and Regulatory Compliance

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 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

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.

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Trend | Operations Management

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.

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Fact Sheet | Payment, Reimbursement, and Managed Care

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

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

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

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

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Article | Revenue Cycle Technology

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

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

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.

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Column | Leadership

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

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Column | Staff Development

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

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Trend | Financial Leadership

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

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Trendsetter | Payment Trends

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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