Medicare Payment and Reimbursement

The increased uninsured population and changes in coverage for others requires healthcare finance departments to revise their practices

As a result of unemployment, insurance coverage has changed for millions of Americans, making it more important than ever for healthcare providers to offer financial counseling, community outreach and patient education.

Chad Mulvany, FHFMA May 21, 2020

CMS seeks healthcare provider comments on possible new methodology to calculate MS-DRG weights

HFMA's Chad Mulvany reviews possible technical and legal challenges CMS may face as it proposes to collect provider pricing data.

Chad Mulvany, FHFMA May 19, 2020

New hospital price transparency requirements included in IPPS proposed rule

CMS wants hospitals to start reporting median health plan payment rates and may use the information to help determine Medicare rate changes.

Rich Daly May 13, 2020

Key considerations for revenue cycle teams to optimize coding and maximize revenue during COVID-19

Providers should make sure they fully understand various COVID-19 codes that can enhance payment from CMS and serve as important claims data.

Emmel Golden, MD, FCCP, CCDS May 6, 2020

Rural hospitals get financial assistance as COVID-19 exacerbates their struggles

The federal government has begun to release financial assistance targeted to rural hospitals as they struggle with cash shortfalls amid the shutdown of elective procedures.

Rich Daly May 6, 2020

CMS’s second COVID-19 interim final rule further relaxes Medicare regulations

HFMA's Chad Mulvany provides details on key provisions of CMS's second COVID-19 interim final rule.

Chad Mulvany, FHFMA May 5, 2020

New ‘terms and conditions’ added for providers accepting latest round of CARES funding

Hospitals will have additional terms and conditions with which to comply if they accept a share of $20 billion in new federal assistance.

Rich Daly April 30, 2020

Mandatory bundled payment program for joint replacement makes changes to accommodate hospitals during COVID-19

Medicare’s largest mandatory bundled payment program is striving to adapt to the unique challenges the coronavirus has created for its hospital participants.

Rich Daly April 30, 2020

Cost of COVID-19 cases likely to eclipse relief measures

Hospitals and health systems need to develop a well-informed plan of action to deal the the short-term and long-term financial impacts of COVID-19.

Eric C. Reese, PhD April 29, 2020

Yes Virginia, there is a cost shift: Hospitals with higher occupancy rates due to COVID-19 provide more evidence

HFMA's Chad Mulvany says that even though the COVID-19 pandemic is a unique circumstance, emerging margin data from hospitals in the Northeast provide additional evidence in support of the cost shift.

Chad Mulvany, FHFMA April 29, 2020
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