Medicaid Compliance

Provider responses to prospective compromise on surprise billing range from concerns to opposition

Congressional healthcare committees are urging leaders to include a “compromise” on surprise medical bills in year-end legislation, but providers are worried about it.

Rich Daly December 21, 2020

Hospitals to lose Medicare, Medicaid access in 14 weeks if they don’t meet daily reporting requirements

Hospitals will have 14 weeks to meet daily data-reporting requirements related to COVID-19 and the flu or face termination from Medicare and Medicaid.

Rich Daly October 7, 2020

And so begins the scrutiny of CARES Act General Fund distributions to hospitals and health systems

HFMA's Chad Mulvany says healthcare providers should keep good records as Health & Human Services' guidance on what data should be supplied in return for CARES Act payments is vague at best.

Chad Mulvany, FHFMA May 11, 2020

And the small print taketh away: Providers need to stay updated on HHS changes to the CARES Act Provider Relief Fund terms and conditions

HFMA's Chad Mulvany reviews some of the U.S. Department of Health & Human Service's changes to the terms and conditions related to the CARES Act Provider Relief Fund.

Chad Mulvany, FHFMA May 1, 2020

Fitch warns about a potentially big hit to NFP hospitals from Medicaid payment changes

The credit standing of not-for-profit hospitals could take a hit from proposed changes to aspects of Medicaid financing, according to a rating agency.

Rich Daly February 18, 2020

Trump administration details hospital spending plans in FY21 proposed budget

The Trump administration signaled its federal healthcare spending priorities in its proposed annual budget, which includes a slew of hospital cuts.

Rich Daly February 12, 2020

What to expect from Medicaid block grant waivers

HFMA's Chad Mulvany says the macro design choice that matters to most to providers in any state that adopts the block grant program will be whether the state chooses the true block grant financing option, or if it selects a per capita cap based on the prior year’s enrollment.

Chad Mulvany, FHFMA February 10, 2020

BESLER: Full-service Transfer DRG revenue recovery

BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.

HFMA January 16, 2020

Introducing the ‘Cup of Joe’ podcast

From the team that brings you Voices in Healthcare Finance comes Cup of Joe, a new podcast featuring conversations between HFMA's President and CEO, Joe Fifer, and key industry thought leaders. In today’s preview episode, Joe talks with Gail Wilensky, an economist and senior fellow at Project HOPE who served as a senior adviser to President George H.W. Bush.

Erika Grotto July 19, 2019

Remaining nimble amid government regulation changes

By being proactive and developing the capacity to change, your revenue cycle department can acquire the dynamism to respond as the Medicaid landscape shifts.

Marie Hinds June 17, 2019
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