Medicare Payment and Reimbursement

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

Beyond the Medicare Annual Well Visit: Maximizing Revenue for Hospital-Owned Practices

Medicare-covered services may present a new source of revenue for hospital-owned physician practices.

Cathy Zito February 21, 2017

Hospitals Face Challenges From Medicare Cost and Payment Trends

An analysis finds that Medicare payments for hospital admissions are declining even as hospitals’ cost per admission is rising, pointing to an increased need for aggressive cost containment efforts by hospitals.

HFMA February 21, 2017

Managing the Ethical Aspects of MACRA

Value is the key driver and organizing principle of MACRA and MIPS. Therefore, it is critical to define value from the view of different healthcare stakeholders.

William Marty Martin February 14, 2017

HFMA Final Rule Summary: Advancing Care Coordination Through Episodic Payment Models

This document consists of three separate summaries of CMS's final rule implementing three new Medicare Parts A and B episode payment models, a Cardiac Rehabilitation (CR) Incentive Payment Model and modifications to the existing Comprehensive Care for Joint (CJR) Replacement Model.

HFMA February 1, 2017

Expert: Outlook for Value ‘Quite Unknown’ Under New President

Robert Berenson, healthcare industry expert, says the healthcare value movement still has a ways to go to realize its full potential.

Jeni Williams January 24, 2017

Two Signs of Healthcare’s Improvement as the ACA Nears Its Denouement

Ken Perez discusses developments regarding hospital-acquired conditions and hospital readmissions.

Ken Perez January 23, 2017
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