Medicare Payment and Reimbursement

Healthcare News of Note: What healthcare sector innovations are consumers most excited about?

Some 48% of healthcare consumers surveyed said improved insight into how much care would cost was the No. 1 item they were excited about when it came to innovation in healthcare. Employers can expect an increase of more than 20,000% in adolescent mental health telehealth costs, according to a study showing telehealth appointments cost an…

Deborah Filipek January 5, 2023

Medicare contractors should more closely examine providers’ bad debt claims, HHS watchdog says

Medicare administrative contractors (MACs) soon could apply more scrutiny to providers’ reported bad debts if CMS implements recommendations from the HHS Office of Inspector General (OIG). OIG in December issued a report in which it examined bad-debt reimbursement claims on Medicare cost reports spanning 2016 through 2018 for 67 randomly selected providers (including 29 hospitals). In those…

Nick Hut January 3, 2023

Beyond the News: Nick and Shawn discuss No Surprises, disruptors and everything else that made healthcare industry headlines in 2022

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the top stories of 2022 in this special year-end episode.

Erika Grotto December 27, 2022

FY 2023 Hospice Wage Index and Payment Rate Update Final Rule Summary

HFMA provides a detailed summary of the final rule updating the Medicare hospice payment rates for fiscal year 2023.

HFMA December 21, 2022

Massive federal spending bill alleviates reimbursement concerns for hospitals, but less so for physicians

Healthcare provider advocates applauded the inclusion of key reimbursement relief measures and other policies in a proposed federal spending bill for FY23, although physician groups expressed concern about the outlook for their constituents. With a divided Congress looking to muster the votes to pass the legislation before a self-imposed deadline of week’s end, the bill includes many…

Nick Hut December 20, 2022

A “spicy” lame duck session for the 117th Congress and other things to expect after midterm elections

Friend of the podcast Chad Mulvany of the California Hospital Association joins HFMA Policy Director Andrew Donohue and Senior Editor Nick Hut in a discussion about what midterm elections could mean for healthcare.

Erika Grotto December 19, 2022

Prior Authorization and Interoperability for Medicare Advantage, Medicaid, CHIP, and QHPs Proposed Rule Summary

HFMA presents a detailed summary of the proposed rule designed to improve the electronic exchange of health care data and streamline prior authorization processes, while continuing to encourage interoperability in the healthcare market.

HFMA December 16, 2022

FY 2023 Inpatient Psychiatric Facilities Prospective Payment System Final Rule Summary

HFMA presents a detailed summary of the fiscal year (FY ) 2023 Inpatient Psychiatric Facilities (IPF) Prospective Payment System final rule describing updates to IPF rates and payment adjustments and the IPF Quality Reporting Program for FY 2023.

HFMA December 16, 2022

CY 2023 Physician Fee Schedule Final Rule Summary Part III – Quality Payment Program Updates

HFMA presents Part III of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies.

HFMA December 16, 2022

The hospital labor picture could be improving, but a full financial recovery isn’t imminent

The financial and operational stress that has hampered hospitals may be easing in some ways, but probably not enough to qualify as a holiday gift for a beleaguered industry. Recent reports from credit-rating agencies have presented a mixed outlook. For example, Fitch Ratings released an analysis in December showing “incremental signs of improvement” in the staffing situation…

Nick Hut December 15, 2022
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