Public health emergency extended, $20 billion more in provider aid to be released
The COVID-19 public health emergency was extended to January and a new round of federal funding was issued for ongoing pandemic-response expenses.
Everything you wanted to know about the CARES Act PRF but HHS was afraid to answer through July 16
HFMA's Chad Mulvany says taxing for-profit providers’ PRF funding seems counterproductive, counterintuitive and counter to Congress’s intention, and could particularly hurt independent physician practices.
CARES Act accounting implications will vary by healthcare type
The accounting rules for providers receiving funding through the CARES Act will vary widely by provider type.
One health system finds ‘millions’ of reasons to audit value-based payments
A health system identified millions of dollars in underpayments that it should have received as part of two value-based payment arrangements in recent years.
BLS|Revecore: Technology-Driven Underpayment Review Services
In this article, BLS|Revecore talks about how its underpayment review technology and deep industry expertise help organizations collect dollars that would otherwise go unrecovered.
Ask the Experts: Contract performance
My organization recently transitioned to its first Ambulatory Payment Classifications (APC)/DRG-based contract with a commercial plan. We are struggling with determining how to monitor the contract’s performance and, in particular, with the primary focus on the APC payment. Are there recommended key performance indicators (KPIs) used to track this performance? Answer: It is likely that your organization…
Inconsistent address data could delay Medicare payments
One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.
Video: How to Ensure a Clean 340B Audit
Effective 340B compliance requires thinking beyond 340B as a pharmacy program.
Keeping Ahead of the RACs
Changes announced by the Centers for Medicare & Medicaid Services underscore the need for healthcare organizations to prepare for escalating auditor activity.
Using Audits to Improve Compliance, Cut Future Audit Risk
Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.