Course | Basic | Medicare Payment and Reimbursement
In this course we will address scheduling processes, including<div><ul><li>Patient identification</li><li>Requested service</li><li>Medical necessity screening</li><li>Medicare Advance Beneficiary Notice of Noncoverage processing</li><li>Pa...
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Course | Overview | Medicare Payment and Reimbursement
This course provides a brief history and overview of Medicare and Medicaid. It describes government organizations that regulate and administer this program. This course also discusses Medicare reimbursement. In addition, it highlights recen...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides an overview of the prospective payment systems used in the Medicare program and as well as Medicare fee schedules. This course provides a general discussion and overview of Medicare reimbursement under the Inpatient Pro...
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Course | Intermediate | Medicare Payment and Reimbursement
This course provides a general discussion and overview of reimbursement provided by Medicare under the outpatient prospective payment system. It also discusses the use of ambulatory payment classifications in the outpatient prospective paym...
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On Demand Webinar | Intermediate | Medicare Payment and Reimbursement
As the senior population continues to outpace the relative growth of the general population, and Medicare Advantage is accounting for about one-third (and growing every year) of all new Medicare eligible enrollees, providers are increasingl...
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Comment Letter | Medicare Payment and Reimbursement

HFMA Comments on CMS's Proposed Changes to the Medicare Shared Savings Program

Comment Letter | Medicare Payment and Reimbursement

HFMA Comments on CMS's Proposed Changes to the Medicare Shared Savings Program

HFMA submitted a comment letter to CMS on the proposed changes to the Medicare Shared Savings Program (MSSP) benchmarking and trending methodologies published in the February 3, 2016, Federal Register.

HFMA submitted comments to the Centers for Medicare &amp; Medicaid Services (CMS) on the proposed changes to the Medicare Shared Savings Program (MSSP) benchmarking and trending methodologies published in the February 3, 2016, Federal Register.

Regarding the specific proposals included in the rule, HFMA commented on the following:
 

  • Definition of assignable beneficiaries
  • Transition to regional data for setting benchmarks
  • Risk adjustment methodology for continuously assigned beneficiaries
  • Calculating regional average expenditures using state-level ESRD data
  • Reversal of decision to add savings achieved in prior periods back to the historical benchmark
  • Determination reopening criteria
  • Inducements to facilitate transition to two-sided risk bearing models

Download the comment letter 

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