Information-sharing rule creates new hospital, health plan transparency requirements
Hospitals and health plans will face new patient data transparency requirements in as soon as six months under two new final rules from the federal government.
BESLER: Full-service Transfer DRG revenue recovery
BESLER talks about its Transfer DRG revenue recovery service that helps hospitals recover monies they have rightfully earned while maintaining compliance.
OPPS final rule keeps site-neutral payments and 340B cuts, leaves out transparency requirement
The Medicare OPPS final rule will continue 340B and site-neutral payment cuts but leaves out the requirement to post rates negotiated with health plans.
Provider alignment to get a boost under anti-kickback, Stark proposals: attorney
Provider initiatives to better align under value-based payment models would get a boost from proposed Stark and anti-kickback law enforcement changes.
EHRs, EDs and the latest on OPPS
Stephen Morgan of Virginia's Carilion Clinic shares how his organization used analytics to optimize its EHR. Also: Chad Mulvany shares early takes on the latest from CMS on OPPS, and in a sponsored segment, Florian Otto of Cedar talks about what healthcare can learn from other industries about patient-friendly payment.
Introducing the ‘Cup of Joe’ podcast
From the team that brings you Voices in Healthcare Finance comes Cup of Joe, a new podcast featuring conversations between HFMA's President and CEO, Joe Fifer, and key industry thought leaders. In today’s preview episode, Joe talks with Gail Wilensky, an economist and senior fellow at Project HOPE who served as a senior adviser to President George H.W. Bush.
Inconsistent address data could delay Medicare payments
One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.
Deceased Medicare Beneficiary Admissions: Accounting for the Causes and Impacts
Hospitals and health systems should be prepared to see a greater financial impact from Medicare hospital admissions that end with beneficiaries being deceased than from such admissions that end with the patients leaving the hospital in an improved condition.
OIG’s Video Highlights a Busy Year
A recent OIG video highlighting various reports offers helpful reminders for finance personnel, compliance officers, legal counsel, and others who assist in ensuring that their healthcare organizations abide by all legal requirements.
5 Ways to Boost Billing Capabilities for Transitional Care Management
Samantha Sizemore shares tips for success in transitional care management.