HFMA
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HFMA
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CY 2025 OPPS/ASC Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule issued by CMS updating payments under the hospital outpatient prospective payment system and the ambulatory surgical center payment system for CY 2025.
From Strategy to Operations
This white paper explores the pivotal role of outpatient and ancillary services in addressing these challenges and outlines a strategic revenue approach to change ancillary services from a cost center to a profit center.
CY 2025 Physician Fee Schedule Proposed Rule Summary – Part I
HFMA presents Part I of three detailed summaries of the proposed rule relating to the Medicare physician fee schedule for CY 2025 and other revisions to Medicare Part B policies.
Report: Payer requests for information are slowing reimbursement
Payers are increasingly rejecting claims through requests for information (RFI) that in total serve no purpose other than to delay reimbursement, according to “Death by a thousand requests,” a report from consulting firm Kodiak Solutions. RFI claim denial rates as a percentage of total billed charges climbed to 3.82% in 2024 through May, up from…
Unlock Financial Stability and Growth: The Essential Role of Non-Recourse Patient Financing in Healthcare
Download this white paper to learn how your healthcare organization can utilize non-recourse patient financing as a powerful alternative to traditional collection methods, offering benefits like predictable revenue, reduced bad debt, and improved cash flow.
Navigating the rising tide of denials
Managing the healthcare revenue cycle is more challenging — and more critical — than ever. Amid sluggish margins, ongoing staffing challenges and rising costs, providers feel unprecedented pressure to optimize their revenue cycles. Addressing the ever-increasing issue of denials is a great place to begin. The latest data on denials and proven strategies to reduce…
CY 2025 Home Health Prospective Payment System Proposed Rule Summary
HFMA presents a detailed summary of the CY 2025 proposed rule updating payment rates for home health agencies.
Ascension’s investment in R1 RCM pays off with $1.1 billion valuation
R1 RCM signed a definitive agreement to be acquired in full by funds affiliated with investment firms TowerBrook Capital Partners — currently a partial owner — and Clayton, Dubilier & Rice for $8.9 billion including about $3 billion in debt. The deal values the revenue cycle management company at $14.30 per share, which would attach…
Premier’s AI platform offers a data-driven solution for medical group leaders
Learn about how Provider Practice Benchmarking allows medical group leaders to directly measure their performance across more than 150 physician and advanced practitioner specialties in a number of areas from a single reporting platform.
Healthcare organizations increasingly rely on third-party solutions for RCM tasks
While healthcare organizations rely on native EHR functionality for certain revenue cycle management (RCM) tasks, they increasingly look to third-party solutions for others. But what questions should they be asking? Check out key takeaways in this research report.