After OIG says hospitals may be engaging in upcoding, CMS and AHA dispute the finding
The HHS Office of Inspector General says a significant rise in high-severity inpatient admissions with no corresponding increase in length of stay indicates a possible pattern of upcoding by hospitals in recent years.
5 tips to safeguard 20% payment increase for treating patients with COVID-19
Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.
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.
Lessons learned from 2020 HFMA MAP Award winners
Learn key takeaways from 15 revenue cycle leaders who shared performance at the HFMA Digital Annual Conference lessons learned around ways to strengthen and sustain revenue cycle.
HFMA’s online Community continues to grow and evolve
The completion of HFMA’s major upgrade to its online Community platform just as COVID-19 pandemic was provided an improved networking experience and way to get answers to healthcare finance industry questions.
Proposed CY 2021 Medicare Physician Fee Schedule changes: Analysis of impact on telehealth flexibilities and E/M coding
HFMA's Katie Gilfillan says the E/M coding changes taking place January 1, 2021, will have significant impacts not only to primary care physicians but also will have significant impact on specialist’s reimbursement.
Key considerations for revenue cycle teams to optimize coding and maximize revenue during COVID-19
Providers should make sure they fully understand various COVID-19 codes that can enhance payment from CMS and serve as important claims data.
The COVID-19 impact on the revenue cycle for hospitals and other healthcare providers
Hospitals and other providers should be prepared for the impact of COVID-19 on various aspects of the revenue cycle, including billing and coding, patient financial responsibility and resources.
Key hospital provisions and some questions requiring resolution from the CARES Act
Summary of the top five CARES Act provisions impacting hospital finances and the open questions associated with those provisions.
COVID-19 provides an opportunity for healthcare leaders to revisit coding processes
The spread of COVID-19 in the United States presents a reminder to healthcare leaders to prepare their coders for quick process changes.