HFMA

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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

HFMA April 28, 2017

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?

HFMA April 24, 2017

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 April 24, 2017

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 

HFMA April 20, 2017

Executive Summary: CMS 2018 IPPS Proposed Rule

This summary contains key financial and operational impacts from the FY18 IPPS proposed rule, published by CMS.

HFMA April 20, 2017

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. 

HFMA April 14, 2017

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?

HFMA April 10, 2017

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. 

HFMA April 10, 2017

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?

HFMA April 7, 2017

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?

HFMA April 7, 2017