Medicare Payment and Reimbursement

Analysis: Another year closer to depleting the Part A Trust Fund

With the predicted depletion of Medicare’s hospital insurance fund, and Congress unlikely to increase taxes for working people or hike costs for beneficiates, what should healthcare finance leaders expect?

Chad Mulvany, FHFMA May 14, 2019

Making sense of Trump’s 2020 budget proposals for healthcare

Congress is almost certain not to accept president Trump’s proposed budget for FY20 with its cuts to Medicare and Medicaid, but he is not the first president to propose a budget that has little chance of being accepted.

Gail R Wilensky, PhD May 14, 2019

Ask the Experts: Provider Level Adjustments

Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?

HFMA May 14, 2019

Ask the Experts: Cost per day

Where can we find benchmarking data across other skilled nursing facilities related to costs per day for patient care?

HFMA May 14, 2019

4 strategies for improved Medicare Advantage plan performance

Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.

Tej Shah May 14, 2019

FY20 inpatient payment rule proposes changes to DSH, wage index

The proposed rule for Medicare inpatient payments could significantly affect uncompensated-care payment and wage adjustments.

Rich Daly May 9, 2019

Some Practices Leave Largest Bundle Program

Physician practices were more likely than other providers to depart from Medicare’s largest bundled payment program by the March 1 deadline to drop out, according to industry advisers.

Rich Daly May 6, 2019

340B Ruling: Good News for Some, Maybe

340B-eligible facilities are unsure of the fate of the 340B discount drug program as they await a U.S. District Court ruling on remedies that could further alter payments.

J. Stuart Showalter February 20, 2019

Ask the Experts: Behavioral Health Billing

We want to offer an intensive outpatient program (IOP) that provides group psychotherapy to patients who require a higher intensity of treatment than our outpatient setting provides. We need a thorough understanding of the billing process for the state of

HFMA February 20, 2019

Annual Hospital Costs for Opioid Overdose Patients Approaches $2 Billion

The average cost for an overdose patient who was treated and released totaled $504, but the average cost rose to $11,731 for those that were treated and admitted to a hospital.

HFMA February 15, 2019
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