Healthcare Reimbursement News

Overview of Medicaid Disproportionate Share Hospital Allotment Reductions

This document summarizes the proposed rule requiring reductions to state Medicaid disproportionate share hospital allotments required under the ACA from FY14 through FY20. CMS released a proposed rule requiring aggregate reductions to state Medicaid disproportionate share hospital (DSH) allotments. The rule, required by the Affordable Care Act (ACA), sets forth aggregate reductions to state Medicaid DSH allotments annually from FY14 through FY20. The proposed rule also delineates the DSH health reform methodology (DHRM) to implement the annual reductions for FY14 and FY15, and proposes to add additional DSH reporting requirements for use in implementing the DHRM.

By HFMA June 27, 2013

Medicare Disproportionate Share Hospital Payment Adjustment Fact Sheet

This document summarizes the major changes to the disproportionate share (DSH) payment adjustment that hospitals serving a significantly disproportionate number of low-income patients can qualify for, as outlined in the FY14 IPPS proposed rule.

By HFMA June 20, 2013

HFMA Comments on Medicare Part B Inpatient Hospital Billing and the RAC Program

HFMA is concerned with aspects of the RAC program that violate many of HFMA’s principles of a reformed payment system. Comments focused on rebilling for medically necessary services and the timeframe.

By HFMA May 20, 2013

Successfully Negotiating Managed Care Contracts

“The more an organization solidifies its own expectations for contract negotiation and appreciates the needs of the payer, the more likely it is to reach an acceptable agreement,” says Paula Dillon, director of managed care for Rockford Health System.

By HFMA April 24, 2013

HFMA Comment Letter: Second Draft of Sustainable Growth Rate Repeal & Reform Proposal

Read HFMA's comments to the chairs of the House of Representatives' Ways and Means and Energy and Commerce Committees and their respective Health Subcommittees on their drafted framework for legislation to replace the SGR.

By HFMA April 15, 2013

Medicare Part B Inpatient Billing in Hospitals Proposed Rule Fact Sheet ;reasonable and necessary;Medicare Part A claim denial;inpatient admission

This fact sheet highlights the CMS's proposed rule, Medicare Program; Part B Inpatient Billing in Hospitals, which would revise the current billing policy under Medicare Part B following a denial of a Medicare Part A inpatient claim for services not reasonable and necessary.

By HFMA April 5, 2013

CY13 Medicare Physician Fee Schedule Final Rule Fact Sheet

CMS has issued a final rule regarding revisions to payment policies under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).

By HFMA January 11, 2013

CY13 OPPS Final Rule Fact Sheet

This fact sheet provides information on the updates to Medicare payment rates for hospital outpatient services paid under the outpatient prospective payment system and the ambulatory surgical center payment system for calendar year 2013.

By HFMA December 19, 2012

HFMA’s Comment Letter to CMS on Hospital Value-Based Purchasing

HFMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the weighting of the HCAHPS domain within the CMS Hospital Value-Based Purchasing Program.

By HFMA December 19, 2012

Ask the Experts Answer: Urgent Care Center

Q: We are opening an urgent care center that will be hospital-based. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices. 

By HFMA October 25, 2012
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