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 | 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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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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Live Webinar | Payment, Reimbursement, and Managed Care
This Spring, Medicare is offering a final enrollment opportunity in the Bundled Payments for Care Improvement Advanced ("BPCI-A") model for new participants. Hundreds of hospitals and physician groups are actively participating in BPCI-A, a...
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Comment Letter | Payment, Reimbursement, and Managed Care

HFMA Comments on Acute Hospital Medicare Cost Report Issues Created by COVID-19

Comment Letter | Payment, Reimbursement, and Managed Care

HFMA Comments on Acute Hospital Medicare Cost Report Issues Created by COVID-19

HFMA submitted a comment letter to CMS expressing its concern that the pandemic and associated relief efforts have created a number of technical Medicare cost report issues that need to be addressed. Otherwise hospitals may owe (or be due) a significant payable due to circumstances beyond their control and have future rates set too high (or low). Both situations will further jeopardize the financial sustainability of many hospitals that have seen their income statements and balance sheets weakened by the pandemic at a time when they are most needed by the communities they serve. Specifically, these issues include:
  • Intern and resident counts for Indirect Medical Education  (IME) /Direct Graduate Medical Education (DGME) payment calculation
  • Medicare ratio for DGME payment calculation
  • Uncompensated care claimed on worksheet S-10
  • Medicaid and Supplemental Security Income (SSI) volumes for DSH-eligible hospitals
  • Ratio of costs to charges
  • Worksheet A-8 treatment of COVID-19 expenses 
  • Worksheet A-8 treatment of Payment Protection Program (PPP) loan forgiveness
  • Medicare Accelerated Payment Program cost report treatment – Worksheet A-8
  • Rural health clinic (RHC) productivity standards
  • Medicare transplant volumes and survival rates – conditions of participation
  • Worksheet G-3: Reporting Revenues Associated with CARES Act Grants and Loan Forgiveness

Download the comment letter

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