HFMA
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HFMA
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Tool: Physician Practice Assessment and Checklist for Optimization
Healthcare leaders can use this assessment tool to determine how to improve medical group efficiency and performance.
HFMA Comments on Medicare Part B Inpatient Hospital Billing and the RAC Program
HFMA is concerned with aspects of the RAC program that violate many of HFMA’s principles of a reformed payment system. Comments focused on rebilling for medically necessary services and the timeframe.
Successfully Negotiating Managed Care Contracts
“The more an organization solidifies its own expectations for contract negotiation and appreciates the needs of the payer, the more likely it is to reach an acceptable agreement,” says Paula Dillon, director of managed care for Rockford Health System.
HFMA Comment Letter: Second Draft of Sustainable Growth Rate Repeal & Reform Proposal
Read HFMA's comments to the chairs of the House of Representatives' Ways and Means and Energy and Commerce Committees and their respective Health Subcommittees on their drafted framework for legislation to replace the SGR.
Patient Friendly Billing Resources
Patient Friendly Billing Resources Here is an extensive list of patient friendly billing reports, analysis, tools, case studies, and related information.
HFMA Comment Letter: Medicare Program: Request for Information on Clinical Quality Measures Reporting
HFMA comments to CMS on its efforts to simplify requirements for physician quality reporting. HFMA supports efforts to better align CMS policy with HFMA's core payment reform principles.
Medicare Part B Inpatient Billing in Hospitals Proposed Rule Fact Sheet ;reasonable and necessary;Medicare Part A claim denial;inpatient admission
This fact sheet highlights the CMS's proposed rule, Medicare Program; Part B Inpatient Billing in Hospitals, which would revise the current billing policy under Medicare Part B following a denial of a Medicare Part A inpatient claim for services not reasonable and necessary.
CY13 Medicare Physician Fee Schedule Final Rule Fact Sheet
CMS has issued a final rule regarding revisions to payment policies under the Medicare Physician Fee Schedule for calendar year 2013 (CY13).
CY13 OPPS Final Rule Fact Sheet
This fact sheet provides information on the updates to Medicare payment rates for hospital outpatient services paid under the outpatient prospective payment system and the ambulatory surgical center payment system for calendar year 2013.
Providence’s Revamped Billing Statements Led to Quicker Payment
Providence Health System developed a patient billing statement that encourages faster payment.