CMS and MedPAC Guidelines and Trends

New federal guidance seeks to clarify reimbursement of COVID-19 testing and vaccinations

Federal agencies have issued new guidance intended to make it easier for healthcare providers to receive reimbursement for administering COVID-19 tests to insured individuals and for giving vaccinations to the uninsured.

Nick Hut March 1, 2021

News Briefs: Latest patient volume data reveals some of the challenges facing hospitals in the COVID-19 era

Recent industry reports have quantified the impact of the COVID-19 pandemic on hospital patient volume.

Nick Hut February 22, 2021

3 takeaways from the latest MedPAC policy meeting: future payment rates, telehealth coverage approaches and an overhaul of Medicare APMs

The January meeting of the Medicare Payment Advisory Commission included policy discussions about some of the most pressing issues in healthcare, including coverage of telehealth services.

Nick Hut January 25, 2021

Medicare phases out the inpatient-only list, backs off further 340B payment cuts

The final rule for the CY21 Medicare Outpatient Prospective Payment System will phase out the inpatient-only list but won’t implement steeper 340B cuts.

Rich Daly December 4, 2020

Telehealth: Moving from stop-gap measures to an integrated care delivery model

With telemedicine on the rise, two senior leaders advise having proper denials prevention and response strategy, along with ideas on motivating physicians to participate in telehealth programs.

HFMA November 30, 2020

HFMA recommended coronavirus resources

The coronavirus is affecting the healthcare industry in unprecedented ways, and HFMA wants to help you stay up to date on the latest news about the outbreak. Come back to this page regularly for coronavirus resources, selected specifically for healthcare finance professionals, including Medicare information on regulations and guidelines, COVID-19 test pricing, COVID-19 coding, telehealth billing FAQs and more.

HFMA November 16, 2020

CMS’s latest guidance for healthcare organizations on the new coronavirus

The HFMA editorial team will continuously post the latest announcements from the Centers for Medicare & Medicaid Services (CMS) related to the COVID-19 outbreak.

HFMA November 16, 2020

Deconstructing the CMS price transparency rule

By Jan. 1, 2021, hospitals and health systems must create and make public a list of standard charges for the top items and services they provide, per CMS. An executive discusses the challenges and opportunities this presents in this overview.

HFMA October 29, 2020

CMS Administrator Seema Verma receives HFMA’s Board of Directors Award, talks with CEO Joe Fifer

At HFMA's Digital Annual Conference, President and CEO Joe Fifer presented CMS Administrator Seema Verma with the Association's highest honor: the Richard L. Clarke Board of Directors Award in recognition of her outstanding contributions to healthcare in a role that involves oversight of a $1 trillion budget, representing 26% of the total federal budget, and administration of health coverage programs for more than 130 million Americans. Following the presentation, Fifer and Verma had a Q&A session in which she addressed price transparency, the pandemic, and the future of value-based care.

Erika Grotto October 12, 2020

Proposed change to Medicare E/M payment leads to disagreement among both providers and health plans

Medicare physician payment changes for evaluation and management could have dire financial repercussions for some practices, providers warn.

Rich Daly October 12, 2020
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