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 CY 2021 OPPS/ASC Proposed Rule

Comment Letter | Payment, Reimbursement, and Managed Care

HFMA Comments on CY 2021 OPPS/ASC Proposed Rule

HFMA submitted comments to CMS on the CY 2021 OPPS/ASC proposed rule, published in the August 12, 2020, Federal Register. In the letter, comments pertained to the proposals related to:

  • Separately Payable Drugs Provided by 340B Hospitals
  • Proposed changes to the Inpatient Only (IPO) List
  • Proposed Ambulatory Surgical Center (ASC) Payment and Comment Indicator
  • Proposed Prior Authorization Process Requirements for Certain Outpatient Hospital Department Services

Download the comment letter

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Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2021 Physician Fee Schedule Proposed Rule Overview

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Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2021 OPPS/ASC Proposed Rule Overview

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News | Healthcare Business Trends

News briefs November 2020: Trends in hospital volumes and margins, and other forces shaping healthcare finance

Read about the key factors that have shaped healthcare finance policy and practice.

Blog | Innovation and Disruption

Home health provider looks to scale hospital-at-home model

HFMA's Chad Mulvany says this capability positions Dispatch Health as an ideal partner to Medicare Advantage plans or PCPs in risk-sharing models with MA plans, to reduce the total cost of care while maintaining high-quality outcomes.