Medicare Payment and Reimbursement

Hospital Cuts in Trump Budget Called ‘Troubling’

Feb. 13—Adverse impacts from federal spending cuts were just one type of concern that hospital advocates raised this week about the Trump administration’s proposed budget.

Rich Daly February 13, 2018

Rising At-Risk Populations

Almost 84 million people out of a total population of 400 million, will be covered by Medicaid or Medicare by 2050.

HFMA February 8, 2018

Medicare Extenders and DSH Delay Face Uncertain Future

Feb. 6—Hospitals have faced a range of payment cuts since a regularly renewed package of Medicare funding lapsed at the end of 2017. But those cuts soon could be reversed.

Rich Daly February 7, 2018

CMS Offers Hospitals New Medicare Appeals Option

Feb. 6—A new settlement offer to resolve outstanding Medicare claims that have been denied on appeal is available for a limited time from the Centers for Medicare & Medicaid Services (CMS). The offer guarantees 62 cents on the dollar for claimed payment and payable on a faster timetable than previously available.

Mark Taylor February 6, 2018

Proposal Calls for 1.84 Percent Rate Hike for 2019 Medicare Advantage Plans

Feb. 5—Medicare Advantage (MA) plans would receive a 1.84 percent pay boost in 2019 under a recently issued proposed call letter.

Rich Daly February 6, 2018

Global Hospital Budgets Don’t Cut Utilization: Study

Jan. 26—A potential national model for moving hospitals to global budgets was unable to reduce patient utilization during its first two years, according to recent research.

Rich Daly January 29, 2018

Strategies to Measure Performance and Enhance Quality Under MIPS

Access to flexible, robust tracking tools that produce a range of actionable data are proving crucial for physicians participating in the primary track of MACRA.

Elizabeth Barker January 23, 2018

2018 CMS Plans: New Models, Cuts to Measures, and Simplification of CoPs

Jan. 18—Hospitals will see some of their leading regulatory concerns addressed in 2018 by the Centers for Medicare & Medicaid Services (CMS), according to the agency’s leader.

Rich Daly January 19, 2018

Video: Tips for Secure Medical Record Transmission to Payers

Common mistakes are not using security options to send records and not tracking what data or claims are sent. 

HFMA January 17, 2018

340B Suit Rejected—for Now

Jan. 2—Medicare payment cuts to hospitals in the 340B program went into effect Jan. 1 after a federal judge deemed too premature a last-minute request to block the new policy.

Rich Daly January 3, 2018
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