Medicare Payment and Reimbursement

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

Medicare suspends COVID-19 advance payments for Part B providers

Medicare has suspended access to advance payments for Part B providers during the COVID-19 pandemic.

Rich Daly April 29, 2020

The large print giveth: HHS provides more details on its plans to distribute the initial $100 billion from the CARES Act

HFMA's Chad Mulvany says healthcare providers will want to make sure they’re enrolled in the program to cover claims for uninsured patients with COVID-19.

Chad Mulvany, FHFMA April 28, 2020

Federal government responds to COVID-19 crisis

The U.S. Congress has responded to the COVID-19 Crisis by enacting three pieces of legislation, as of April 9, that include relief to hospitals.

C. Duane Dauner April 27, 2020
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