On Demand Webinar | Intermediate | Payment, Reimbursement, and Managed Care
Payment uncertainty in the U.S. healthcare system has become an exhaustive burden for all stakeholders - and further amplified by COVID-19. Healthcare costs and inconsistent volumes demand a holistic, long-term strategy for financial viabil...
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Course | Basic | Payment, Reimbursement, and Managed Care
This course explains how to complete FL 1-41 of the UB-04 billing form. This course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers. The course describes each form locator and provides detaile...
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Course | Basic | Payment, Reimbursement, and Managed Care
This course explains how to complete FL 42-81 of the UB-04 billing form. The codes needed to fill in these data areas are described. The course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers....
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Course | Intermediate | Payment, Reimbursement, and Managed Care
This course describes the regulatory agencies that have authority over healthcare organizations, including the Centers for Medicare and Medicaid Services. It also explains how Medicare and Medicaid function as payers, and how different kind...
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On Demand Webinar | Intermediate | Payment, Reimbursement, and Managed Care
On December 21, CMS finalized the Medicare Shared Savings Program Pathways to Success rule. The final rule represents the most sweeping changes to the program since its inception. While accelerating the transition to risk, the rule's change...
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Comment Letter | Payment, Reimbursement, and Managed Care

Amicus Brief of The Healthcare Financial Management Association on Disclosure of 'Negotiated Charges'

Comment Letter | Payment, Reimbursement, and Managed Care

Amicus Brief of The Healthcare Financial Management Association on Disclosure of 'Negotiated Charges'

HFMA filed an amicus brief on the American Hospital Association's appeal to overturn a Department of Health and Human Services rule requiring hospitals to disclose their privately negotiated rates with insurers. HFMA provided context that the financial information that is most meaningful to patients is the amount that is their out of pocket payment and that the terms of 'charges' and 'prices' are distinct and should not be used interchangeably.

Download the amicus brief

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