Medicare Payment and Reimbursement

Ask the Experts: Cost Report for Cardiac Rehab Services

I am looking for assistance with the cost report treatment for our new intensive cardiac rehabilitation service. In most respects, this service operates like a department of the hospital.

HFMA November 21, 2017

CY18 OPPS and ASC Final Rule Summary

This document provides a comprehensive summary of the CY18 OPPS and ASC final rule, published by CMS.

HFMA November 21, 2017

Key Actions to Prepare for the 2018 Medicare Final OPPS Changes

With little time until the OPPS final rule goes into effect, finance leaders should take action now to address the key issues that may impact their organizations both financially and operationally.

MEDICARE: Mike Kovar November 21, 2017

HFMA’s Regulatory Sound Bites: An Overview of the Final 2018 IPPS Rule

This presentation provides important details of the FY18 IPPS final rule, published by CMS.

HFMA November 7, 2017

Executive Summary: Final 2018 OPPS/ASC Rule

This document provides a brief summary of key financial and operational impacts from the 2018 outpatient prospective payment system (OPPS) final rule.

HFMA November 7, 2017

Trend Toward Increasing Payer Deductions Continues

Payer deductions continue to increase, with government payers far exceeding private and managed care plans. 

David Koepke, PhD October 31, 2017

Understanding the Problem of Claim Processing Waste

Even small improvements in connectivity and transparency could save a few dollars per healthcare claim, which adds up very quickly.

Erin Murphy October 16, 2017

Targeted Care Integration Can Help Drive Success Under Risk Contracts

Providers can avoid many of the missed opportunities associated with risk contracts by carefully reviewing the targeted patient population, narrowing the number of performance metrics, and selecting the right clinicians to participate.

Laura Ramos Hegwer October 3, 2017

CMS Proposal: A Path to an Uncertain Future for 340B

CMS’s proposal to reduce rates for 340B-covered entities for separately payable outpatient drugs may indicate the Trump administration may take an aggressive approach to healthcare policy.

Mark Polston, JD October 2, 2017

Optimizing Financial Performance Under Value-Based Care

As they seek to adapt their organizations to the demands of value-based care, physician leaders can follow the example of participants in the Oncology Care Model.

Charles Saunders, MD October 2, 2017
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