HFMA Comments on CMS’s CY16 Physician Fee Schedule Proposed Rule
HFMA comments on the 2016 Medicare Program; revisions to payment policies (including advance care planning) under the physician fee schedule for CY 2016.
340B Drug Pricing Program Proposed Guidance Summary
This executive summary highlights important components of the Health Resources and Services Administration’s (HRSA) proposed 340B “Mega-Guidance.”
HFMA Comments on CMS’s CCJR Payment Model Proposed Rule
HFMA comments on CMS’s proposed rule for Comprehensive Care for Joint Replacement (CCJR) Payment Model for Acute Care Hospitals Furnishing Lower Extremity Joint Replacement Services.
Comprehensive Care for Joint Replacement Payment Model Proposed Rule Fact Sheet
This fact sheet provides a summary of the new Comprehensive Care for Joint Replacement (CCJR) payment model proposed rule released by CMS.
How Accurate Mortality Risk Measurement Improves Quality and Value
Keeping risk-adjusted mortality rates low is an essential step when pursuing risk-based payment arrangements, says Brett Senor, MD.
CY16 OPPS Proposed Rule Fact Sheet
This document highlights the proposed prospective payment system updates to Medicare outpatient hospitals and ambulatory surgical centers for calendar year 2016 (CY16).
ACO Final Rule Fact Sheet
This document contains highlights of the final rule addressing changes to the Medicare Shared Savings Program, including provisions pertaining to Accountable Care Organizations (ACOs).
Discerning the Impact of Lesser-Than and Greater-Than Provisions in Payer Contracts
If hospitals do not take these payment provisions into account, a small price adjustment could result in a significant revenue hit, says William O. Cleverley.
HFMA Comment Letter: CMS’ FY2016 Hospital IPPS Proposed Rule
HFMA comments on the CMS analysis and discussion of the myriad Medicare hospital reimbursement decisions addressed in the 2016 IPPS Proposed Rule.
HFMA comments on the Senate Finance Committee Chairmen’s Audit & Appeal Bill
HFMA comments on the Senate Finance Committee Chairman's Mark of the AFFRIM Act to put forth solutions to the challenges faced by hospitals and beneficiaries from overlapping recovery audit programs.