Healthcare Reimbursement News

The Collateral Impacts of MIPS

Tom S. Lee describes the long-term effects a MIPS score can have on providers.

By Tom S. Lee September 7, 2017

Optimizing Total Joint Performance in an Era of Uncertainty

Advisory Board’s Sean Angert discusses ways healthcare organizations can improve performance in bundled payment programs.

By Sean Angert September 5, 2017

MIPS: Getting Ready for a New Paradigm in Pay for Performance

Organizations that have not yet considered their strategy for participation in the Merit-based Incentive Payment System (MIPS) must begin to plan now, or risk financial penalties. 

By Jennifer Swindle September 5, 2017

Time for Hospitals to Pursue a ‘Nip and Tuck’ Chargemaster Pricing Strategy?

Hospitals should balance their concern about achieving the margins they require to accomplish their missions with the need to maintain defensible pricing in an environment of increasing healthcare price transparency.

By Jeff Helton,  PHD, FHFMA, CMA, CFE September 5, 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.

By 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.

By Edward Hu August 29, 2017

FY18 IPPS Final Rule Summary

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

By HFMA August 25, 2017

HFMA Comments on the CY18 Updates to the Quality Payment Program Proposed Rule

HFMA submitted comments to CMS on the CY 2018 Quality Payment Program proposed rule.

By HFMA August 24, 2017

The Challenges of “Repeal and Replace”

Despite the success of the “repeal and replace” platform during election season, politics and numbers are getting in the way of Republican efforts to get rid of the Affordable Care Act.

By Gail R Wilensky, PhD August 23, 2017

The Opioid Funding Controversy: A Portent of the Upcoming Bipartisan Healthcare Reform Debate

The continuing efforts to repeal and replace the Affordable Care Act could open doors for advocacy groups to revisit aspects of the legislation they want to change.

By Ken Perez August 23, 2017
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