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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Fact Sheet | Payment, Reimbursement, and Managed Care

Post-Election View of Potential Near-Term Federal Health Policy Agenda

Fact Sheet | Payment, Reimbursement, and Managed Care

Post-Election View of Potential Near-Term Federal Health Policy Agenda

The apparent election of Joe Biden as President will shift the focus and activities of the federal health policy in 2021 and for the next several years, and the ultimate outcome of the Senate races will impact those activities. HFMA has been contemplating the potential effects of the election on federal health policy. This document highlights possible changes involving federal health policy for Medicare, Medicaid, and Affordable Care Act coverage. The approach is high level, given that the choice of the incoming HHS Secretary and CMS leadership team as well as changes in the composition of Congressional committees will also affect the evolution of policy development for these programs over the next several years.

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Fact Sheet | Payment, Reimbursement, and Managed Care

CY 2021 Physician Fee Schedule Proposed Rule Overview

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