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HFMA
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Ask the Experts: Self-Pay Discount Policies
Our hospital is developing a self-pay discount policy. What are some of the legal ramifications we should be aware of?
Ask the Expert: Payers Linking Cancellations of Separate Contracts
How can providers respond when payers threaten to terminate a Medicare Advantage contract if the provider terminates their separate commercial contract?
Ask the Experts: Staffing Models
Is there a hospital business office staffing model or documentation that includes number of billers, collectors, precertification, authorization specialists, and customer service?
Ask the Experts: ACO Staffing and Training
We are moving into an accountable care organization (ACO) model this year. What skills should we be targeting for our finance staff to ramp up for the change?
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.
Medicare Overpayments Final Rule Fact Sheet
This fact sheet summarizes the final rule published by CMS requiring providers and suppliers receiving funds under the Medicare program to report and return overpayments.
Medicare Program; Part B Drug Payment Model Summary of Proposed Rule
This document summarizes the important details of CMS's proposal to test a new payment model called the Part B Drug Payment Model.
Medicare Shared Savings Program Proposed Benchmarking Rule Summary
This document highlights the important changes that would be made to the benchmarking rebasing methodology used in the Medicare Shared Savings Program (MSSP), among other changes.
CY16 Medicare Physician Fee Schedule Final Rule Fact Sheet
CMS has released a final rule with comment period that will revise payment polices under the Medicare Physician Fee Schedule for CY16.
Ask the Experts: Rural Hospital Resources
I work at a rural 24-bed critical access hospital and am looking for a finance policy and procedure manual, as well as a payroll specialist job description.