Healthcare Reimbursement

CMS seeks healthcare provider comments on possible new methodology to calculate MS-DRG weights

HFMA's Chad Mulvany reviews possible technical and legal challenges CMS may face as it proposes to collect provider pricing data.

By Chad Mulvany, FHFMA May 19, 2020

Strong financial leadership is likely key to the success of accountable communities for health

HFMA's Katie Gilfillan says strong financial leadership is required to manage and source the complex funding and ensure the long-term financial sustainability of accountable communities for health.

By Katie Gilfillan May 18, 2020

Executive Summary: Key Financial and Operational Impacts from the Proposed FY21 IPPS Rule

HFMA presents this overview of the CMS FY21 IPPS proposed rule.

By HFMA May 14, 2020

Questions remain on HRSA’s FAQs on billing uninsured COVID-19 claims

HFMA's Chad Mulvany says it's unclear whether IME and DSH payments are included in the "Medicare rates" that HRSA will pay hospitals for treating COVID-19 uninsured patients.

By Chad Mulvany, FHFMA May 13, 2020

New hospital price transparency requirements included in IPPS proposed rule

CMS wants hospitals to start reporting median health plan payment rates and may use the information to help determine Medicare rate changes.

By Rich Daly May 13, 2020

FY 2022 Inpatient Prospective Payment System Final Rule Summary | HFMA

HFMA provides a detailed summary of the proposed rule updating payments under the Medicare inpatient prospective payment system and the long-term care hospital prospective payment system for FY 2022.

By HFMA May 7, 2020

Key considerations for revenue cycle teams to optimize coding and maximize revenue during COVID-19

Providers should make sure they fully understand various COVID-19 codes that can enhance payment from CMS and serve as important claims data.

By Emmel Golden, MD, FCCP, CCDS May 6, 2020

Rural hospitals get financial assistance as COVID-19 exacerbates their struggles

The federal government has begun to release financial assistance targeted to rural hospitals as they struggle with cash shortfalls amid the shutdown of elective procedures.

By Rich Daly May 6, 2020

CMS’s second COVID-19 interim final rule further relaxes Medicare regulations

HFMA's Chad Mulvany provides details on key provisions of CMS's second COVID-19 interim final rule.

By Chad Mulvany, FHFMA May 5, 2020

HFMA Summary: Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

HFMA presents this detailed summary of the CMS interim final rule providing additional flexibilities to Medicare and Medicaid regulations during the COVID-19 pandemic.

By HFMA May 5, 2020
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