Medicare Payment and Reimbursement

Medicare shifts payments toward primary care physicians in PFS final rule

The final rule for CY21 Medicare physician payment will boost evaluation and management service payments while cutting rates for services provided by many specialty physicians.

By Rich Daly December 3, 2020

5 tips to safeguard 20% payment increase for treating patients with COVID-19

Healthcare organizations should be careful to ensure their practices don't put their COVID-19 payments at risk.

By Lisa A. Eramo, MA December 2, 2020

For-profit hospital outlook improves to stable, according to Moody’s

Moody’s shifted its outlook for for-profit hospitals from negative to neutral in response to ongoing federal assistance and an expected volume recovery.

By Rich Daly December 2, 2020

Stark, Anti-Kickback changes draw praise from providers

Final rules modifying enforcement of the Stark Law and the Anti-Kickback Statute aim to remove barriers to participation in value-based payment models.

By Rich Daly December 1, 2020

HHS Provider Relief Fund clarifications provide much-needed information

Several clarifications related to the treatment of depreciation, expenses for stockpiling PPE and revenue to the HHS Provider Relief Fund (PRF) FAQs were released Nov. 18 by the U.S. Department of Health & Human Services.

By Chad Mulvany, FHFMA November 24, 2020

CMMI releases interim final rule detailing the payment model for separately payable Part B drugs

HFMA's Chad Mulvany says it is likely drug manufacturers will sue to stop the rule, and they may have several strong legal arguments that would at least delay, if not overturn the rule.

By Chad Mulvany, FHFMA November 24, 2020

Providers urge Congress to act quickly on COVID-19 assistance, value-based payment

Hospitals and other providers are urging the lame-duck Congress to provide more COVID-19 provider relief and to tweak rules for physicians in value-based payment models.

By Rich Daly November 22, 2020

Could value-based payment be used to shore up the Medicare trust fund?

September estimates that the Medicare hospital trust fund will be insolvent by 2024 could mean value-based payment will play a role in buttressing the fund.

By Rich Daly November 17, 2020

HHS seeks hospitals to administer new COVID-19 treatment

HHS is hoping hospitals will help administer a new COVID-19 treatment to non-hospitalized patients with the disease.

By Rich Daly November 12, 2020

How a lame-duck Congress could affect hospital finances

The existing Congress and the Trump administration could take a range of steps in the coming weeks that would have major financial ramifications for hospitals.

By Rich Daly November 11, 2020
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