Payment Reimbursement and Managed Care

Ask the Expert: Small Claims Court Proceedings

In developing a policy for small claims court proceedings, there are a few homework and research items you will need to complete before proceeding.

HFMA October 25, 2012

Ask the Expert: Adjusting and Automating Self-Pay Accounts

Adjusting and automoating self-pay accounts.

HFMA October 25, 2012

Ask the Expert: When Physicians Terminate Medicare Part B Contracts

When physicians terminate Medicare Part B contracts.

HFMA October 25, 2012

Ask the Expert: Calculating Weighted Averages in Favored Nation Clauses

Calculating weighted averages in favored nation clauses.

HFMA October 25, 2012

Ask the Expert: How Far Can Plans Make Patients Travel?

Can a health plan make a patient travel outside a particular service area (say 40 miles away) to receive care from an exclusively contracted provider?

HFMA October 25, 2012

Ask the Expert: Managed Care Payment Trends

Do you know of any studies that may support managed care payer payment trends to hospitals for 2011, 2012, etc?

HFMA October 25, 2012

Ask the Expert: Recording Meaningful Use Payments

HFMA's Principles & Practices Board is working on publishing guidance on the recording of meaningful use payments.

HFMA October 25, 2012

FY12 IPPS Final Rule Overview

This document provides an overview of CMS's final rule updating the payment rates under the IPPS and the LTCH PPS for fiscal year 2012 (FY12).

HFMA October 18, 2012

CY12 OPPS Final Rule Fact Sheet

This fact sheet provides updates to payment rates under the hospital outpatient PPS for CY12.

HFMA October 18, 2012

FY12 Skilled Nursing Facility PPS Final Rule Fact Sheet

This fact sheet contains noteworthy information on the final rule updating payments to Skilled Nursing Facilities in FY12.

HFMA October 18, 2012
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