Payment Reimbursement and Managed Care

CY14 OPPS Final Rule Fact Sheet

This document summarizes the updates to the OPPS final rule for CY14. 

HFMA December 20, 2013

The Physician Value-Based Payment Modifier: Summary of National Provider Call

Beginning in 2015, physicians will be financially rewarded by Medicare for providing higher-quality, more efficient care. Here’s what CMS told providers about the payment adjustment during a Dec. 3 call.

HFMA December 16, 2013

FY14 IPPS Changes to Certain Cost Reporting Procedures Related to DSH Uncompensated Care Payments

This fact sheet summarizes the changes to the operational procedures for reconciling Medicare disproportionate care payments for hospitals with cost reporting periods spanning more than one federal fiscal year.

HFMA November 14, 2013

Forum Webinar: Laying the Groundwork for Bundled Payment Success

Forum members have exclusive access to the audio and slides from the Nov. 5 Forum Networking Webinar on bundled payment, as well as past events on KPIs, ICD-10, and physician compensation, among other topics.

HFMA November 12, 2013

HFMA’s Regulatory Sound Bites: An Overview of the Final 2014 Inpatient Prospective Payment Rule

This presentation outlines FY14 updates to the IPPS payment rates, CMS's quality-promoting programs, and other policy changes.

HFMA October 30, 2013

Double Checking Your Medicare Cost Report

Here are seven issues that need to be correct on your cost report to ensure appropriate Medicare payments.

Scott Besler October 22, 2013

HFMA Comments on the Medicare Recovery Audit Contractor Program

HFMA addresses the Centers for Medicare & Medicaid Services (CMS) in a proactive comment on issues related to the Medicare Recovery Audit Contractor (RAC) program.

HFMA October 18, 2013

CMS Open Door Forum: 2-Midnight Rule

On Tuesday, Sept. 26, 2013, CMS hosted a second, much anticipated, follow-up call to allow providers and other interested parties to ask questions pertaining to those areas of the two-midnight provision contained in the FY14 inpatient PPS final rule, which pertains to physician order and certification, inpatient hospital admission, and medical review criteria.

HFMA October 2, 2013

Learnings from the Front Lines: Physician Co-Management at Columbus Regional Health

Given the success of its surgical co-management program and employee gainsharing arrangement, the health system is considering a similar program for the ED and is positioning the organization to take on risk-based contracts.

Dennis Butts September 13, 2013

HFMA Comment Letter to CMS: FY14 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals

HFMA prepared a comment letter on key issues contained in CMS's 2014 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals.

HFMA September 6, 2013
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