HFMA
About the Author
HFMA
Latest Work
Where’s the Risk
The secret to success under value based payments is an organization’s ability to identify and stratify risk. Risk falls into four basic categories Financial risk—managing with less revenue than in the pastQuality related risk—meeting requirements for qualityClinical risk—achieving agreed upon
Ask the Experts: Managing Health Plan Overpayments
I have heard there is a rule that health plans cannot recoup overpayments that are more than one year old. Does that stipulation vary by state, or is that a rule that is negotiable per contract?
Ask the Experts: Contracting with Small Health Plans
When negotiating with large and small health plans, what areas of comparison should I look at to be sure I am getting the same levels of service from the various plans?
HFMA Comments on CMS’s EPM IFR
HFMA submitted comments to CMS on EPMs; Cardiac Rehabilitation Incentive Payment Model; and Changes to the CJR; Delay of Effective Date interim final rule
Executive Summary: CMS 2018 IPPS Proposed Rule
This summary contains key financial and operational impacts from the FY18 IPPS proposed rule, published by CMS.
Xtend Healthcare: Helping Organizations Optimize Their Revenue Cycle
Mike Morris, president of Xtend Healthcare, discusses the value of partnering with a revenue cycle management vendor that has deep experience in delivering strong ROI.
Ask the Experts: Self-Pay Accounts
Has anyone placed self-pay unpaid accounts with a third-party agency at day 90? If so, was it beneficial or detrimental?
Electronic Claim Processing Can Save Millions of Work Hours
If providers fully adopt automated processes for claim transactions, a minimum of 1.1 million hours of administrative work could be saved per business week each year, according to a 2016 CAQH study.
Ask the Experts: Loan Refinancing
We have an opportunity to refinance a tax-exempt loan with a new lender on better terms. Our current lender says that there will be a big penalty to pay if we switch to another lender. What do you recommend as next steps?
Ask the Experts: Developing a Bundled Payment Team
Who are the main players within finance and other departments who are typically involved in developing bundled payments?