Medicaid Payment and Reimbursement

Ask the Experts: Medicaid Billing

How should I bill New York Medicaid for services provided by non-hospital employee clinicians in emergency department settings?

HFMA May 23, 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

Alternative Payment Models at the State Level

In an effort to address rising healthcare costs, many states have implemented alternative payment models. 

François de Brantes April 28, 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

Assessing the Impact of Medicaid Expansion

Medicaid expansion reduced the amount of hospital charity care in participating states, while charity care remained almost unchanged in non-participating states during the same time period.

David Koepke February 28, 2017

Webinar: Key Healthcare Trends Will Continue Under Trump

Amid many likely changes in healthcare policy under the Trump administration, the transition to value-based care and the need to be innovative in care delivery and business processes will continue.

Lisa Zamosky January 20, 2017

How Minnesota Safety Net Providers Found Success in a Medicaid Alternative Payment Model

A combination of preparation; using data to stratify patients by risk category; and integrating primary care, behavioral health, and social services is helping Minnesota safety net providers succeed in a Medicaid accountable care initiative.

Andis Robeznieks April 7, 2016

Ask the Experts Answer: Medicare Crossovers to Medicaid Bad Debt

If Medicaid contractualizes all or some of the amount deemed as coinsurance by Medicare, can the contractual amount be claimed as part of the bad debt on the cost report? Or, are we only able to claim the amount that Medicaid notes as being the copay or deductible on the cost report?

HFMA October 25, 2012

Ask the Expert: Medicare Payment for Home Health

Medicare does not distinguish payment by hospital-based or stand-alone home health agencies.

HFMA October 25, 2012
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