Medicare Payment and Reimbursement

FY18 Proposed Changes to the Long-Term Care Hospital (LTCH) Prospective Payment System

This document summarizes the FY18 payment rate updates under the long-term care hospital prospective payment system (LTCH PPS), published by CMS in the April 28, 2017, Federal Register.

HFMA May 18, 2017

Q&A: Exploring the Nuances of MACRA

Physician practices and other healthcare organizations should be aware of various nuances that will affect their performance in both the MIPS and advanced APM tracks of MACRA.

Nick Hut May 18, 2017

Gauging the Financial Impact of MIPS

The financial impacts of MIPS scores can amount to millions of dollars per organization and will significantly grow over the next several years.

Tom S. Lee May 16, 2017

FY18 IPPS Proposed Rule Summary

This document provides a comprehensive summary of the FY18 IPPS proposed rule, published by CMS.

HFMA May 11, 2017

Health Systems Brace for MACRA

Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.

Rich Daly May 11, 2017

CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda

Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.

Ken Perez May 8, 2017

Time for a Medicare Check-Up

A “Medicare check-up” can ensure a hospital is complying with regulations and maximizing revenue opportunities.

Charles L. Buttz April 28, 2017

HFMA Comments on CMS’s EPM IFR

HFMA submitted comments to CMS on EPMs; Cardiac Rehabilitation Incentive Payment Model; and Changes to the CJR; Delay of Effective Date interim final rule 

HFMA April 20, 2017

Executive Summary: CMS 2018 IPPS Proposed Rule

This summary contains key financial and operational impacts from the FY18 IPPS proposed rule, published by CMS.

HFMA April 20, 2017

Managing Transitional and Chronic Care Profitably: A Guide for Hospital-Owned Physician Practices

CMS offers an attractive incentive for healthcare organizations that participate in transitional care management and chronic care management programs.

Cathy Zito April 5, 2017
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