Medicare Payment and Reimbursement

HFMA Comments on the CY18 OPPS/ASC Proposed Rule

HFMA submitted comments to CMS on the CY 2018 OPPS/ASC proposed rule.

HFMA September 13, 2017

Three Strikes Against the Idea that Coverage Reduces ED Use

Ken Perez describes three case studies showing that expanded coverage increases emergency department use.

Ken Perez August 31, 2017

Improve Compliance and Revenue by Understanding the Two-Midnight Rule

Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.

Edward Hu August 29, 2017

FY18 IPPS Final Rule Summary

This document summarizes the FY18 IPPS final rule, published by CMS.

HFMA August 25, 2017

10 States Far Exceed National Average for Average Charge per Medicare Admission

In U.S. 10 states, the average charge per admission far exceeds the same measure for any of the remaining states, significantly surpassing the national average for the measure.

HFMA August 23, 2017

Executive Summary: Episodic Payment Model (EPM) Cancellation Proposed Rule

This document provides a brief summary of the Episodic Payment Model (EPM) cancellation proposed rule, published by CMS.

HFMA August 22, 2017

HFMA Submits Recommendations to Medicare Red Tape Relief Project

HFMA submitted recommendations to the Committee on Ways and Means, Subcommittee on Health.

HFMA August 18, 2017

How CMS Leveled the Playing Field for Hospital Readmission Penalties

A new rule finalized by CMS acknowledges that charging hospitals with higher percentages of dual eligibles the same readmission penalties as hospitals with fewer of these patients. The proposed penalty adjustment will reflect the challenges facing each hospital's populations.

Erin Murphy August 14, 2017

Hospice Programs Save Costs, Reduce Readmissions

Applying hospice home based skills to hospital care and strategic planning may reduce patient stays.“There are many lessons hospitals can learn from hospice providers,” says John Mastrojohn III, executive vice president and COO of the National Hospice and Palliative Care

HFMA August 10, 2017

Evidence-based Guidelines Can Lead ACOs Toward MACRA Success

Joe Guerriero describes opportunities for ACOs enrolled in Medicare programs.

Joe Guerriero August 9, 2017
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