Medicare Payment and Reimbursement

Massive federal spending bill alleviates reimbursement concerns for hospitals, but less so for physicians

Healthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although physician groups expressed concern about the outlook for their constituents. With a divided Congress looking to muster the votes to pass the legislation before a self-imposed deadline of week’s end, the bill includes many…

Nick Hut December 20, 2022

A “spicy” lame duck session for the 117th Congress and other things to expect after midterm elections

Friend of the podcast Chad Mulvany of the California Hospital Association joins HFMA Policy Director Andrew Donohue and Senior Editor Nick Hut in a discussion about what midterm elections could mean for healthcare.

Erika Grotto December 19, 2022

Prior Authorization and Interoperability for Medicare Advantage, Medicaid, CHIP, and QHPs Proposed Rule Summary

HFMA presents a detailed summary of the proposed rule designed to improve the electronic exchange of health care data and streamline prior authorization processes, while continuing to encourage interoperability in the healthcare market.

HFMA December 16, 2022

FY 2023 Inpatient Psychiatric Facilities Prospective Payment System Final Rule Summary

HFMA presents a detailed summary of the fiscal year (FY ) 2023 Inpatient Psychiatric Facilities (IPF) Prospective Payment System final rule describing updates to IPF rates and payment adjustments and the IPF Quality Reporting Program for FY 2023.

HFMA December 16, 2022

CY 2023 Physician Fee Schedule Final Rule Summary Part III – Quality Payment Program Updates

HFMA presents Part III of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies.

HFMA December 16, 2022

The hospital labor picture could be improving, but a full financial recovery isn’t imminent

The financial and operational stress that has hampered hospitals may be easing in some ways, but probably not enough to qualify as a holiday gift for a beleaguered industry. Recent reports from credit-rating agencies have presented a mixed outlook. For example, Fitch Ratings released an analysis in December showing “incremental signs of improvement” in the staffing situation…

Nick Hut December 15, 2022

Healthcare News of Note: Advocate Aurora Health and Atrium Health megamerger complete

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Atrium and Advocate Health close merger deal, CMS details expectations of hospitals in memo addressing workplace violence, and CMS plans to recoup $650 million in overpayments to Medicare Advantage plans.

Deborah Filipek December 12, 2022

CY 2023 Physician Fee Schedule Final Rule Summary Part II – Medicare Shared Savings Program Requirements

HFMA presents Part II of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies. Part II covers the Medicare Shared Savings Program Requirements.

HFMA December 8, 2022

CY 2023 Physician Fee Schedule Final Rule Summary Part I

HFMA presents Part I of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies.

HFMA December 2, 2022

CY 2023 End-Stage Renal Disease Prospective Payment System Final Rule Summary

HFMA presents a detailed summary of the CY 2023 final rule addressing routine payment updates to the Medicare End Stage Renal Disease Prospective Payment System.

HFMA December 1, 2022
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