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 Advancing Care Coordination Through EPMs Proposed Rule

Comment Letter | Medicare Payment and Reimbursement

HFMA Comments on CMS's Advancing Care Coordination Through EPMs Proposed Rule

HFMA submitted comments to CMS on the Advancing Care Coordination Through Episode Payment Models proposed rule, published in the August 2, 2016, Federal Register.

HFMA submitted comments to the Centers for Medicare &amp; Medicaid Services (CMS) on the Advancing Care Coordination Through Episode Payment Models (EPMs) proposed rule, published in the August 2, 2016, Federal Register.

HFMA fully supports CMS’s goal of transitioning 50 percent of Medicare fee-for-service (FFS) payments to value-based arrangements (such as the payment models proposed in the EPM rule). And while the proposed EPM rule incorporates several significant improvements to CMMI’s episodic payment models, facets of the proposed EPM rule concern HFMA’s members. Specifically, our members are concerned about the lack of sufficient risk adjustment to all of the proposed episodes, the lack of relevant quality measures for the SHFFT episode, and the additional, unnecessary administrative burden that, as proposed, these episodes would place on hospitals. As such, HFMA recommends that CMS delay implementation of the EPM rule 24 to 36 months to give CMS time to address these issues.

Download the comment letter

 

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