Medicare contractors should more closely examine providers’ bad debt claims, HHS watchdog says
Medicare administrative contractors (MACs) soon could apply more scrutiny to providers’ reported bad debts if CMS implements recommendations from the HHS Office of Inspector General (OIG). OIG in December issued a report in which it examined bad-debt reimbursement claims on Medicare cost reports spanning 2016 through 2018 for 67 randomly selected providers (including 29 hospitals). In those…
Hospitals can recover all eligible Medicare bad debts by automating the Medicare bad debt review process
One company addresses the challenges of complex rules regulating Medicare bad debt processes and reporting, which makes payment recovery for hospitals difficult.
Healthcare News of Note: Department of Justice files formal challenge to UnitedHealth Group’s proposed acquisition of Change Healthcare
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Hospitals react positively to news that the U.S. DoJ will challenge a proposed merger between UnitedHealth Group and Change Healthcare, $265 billion of care services could shift from traditional settings to the home by 2025, and a study says the level of community benefit provided by nonprofit hospitals is poorly aligned with the tax subsidy they receive.
For some 340B hospitals, the COVID-19 pandemic has brought an unanticipated and unwelcome loss of eligibility
Bringing longer stays and higher rates of deferred care, the COVID-19 pandemic is adversely affecting 340B eligibility for some hospitals.
Revenue Cycle Insights: January 2022
January's issue of Revenue Cycle Insights includes a lot on what's happening with the new surprise billing regulations.
HHS can continue using Worksheet S-10 to calculate uncompensated care payments after federal court ruling
A federal district court dealt hospitals a defeat in a case about uncompensated care payments, issuing a summary judgment in favor of the U.S. Department of Health and Human Services.
Virtual Revenue Cycle Conference April 30 will help healthcare finance professionals manage operational stability during the COVID-19 pandemic
Healthcare finance professionals can learn to continue to support their health system’s financial viability and ensure use of consumer-centric strategies during the COVID-19 pandemic at HFMA's Virtual Conference April 30.
Why it’s imperative for healthcare organizations to review their financial assistance programs during the COVID-19 pandemic
Revenue cycle management services executives discuss why healthcare organizations should review their financial assistance programs amid the COVID-19 pandemic.
Surveys show rates of uninsured increased, underinsured remains significant
HFMA's Chad Mulvany says healthcare organizations should ensure their self-pay revenue cycle process follows best practices as it’s likely with more people uninsured there will be increased scrutiny of these processes.
Supreme Court leaves Affordable Care Act intact, but stakeholders say healthcare reform still has a ways to go
Hospital advocates applauded a Supreme Court ruling June 17 that left the Affordable Care Act in place.