Medicare Payment and Reimbursement

Comparison of 2024 ASC Addendum BB with October 2023 Addendum BB

HFMA presents a spreadsheet comparing ASC covered ancillary services. It also includes an HCPCS lookup tool that makes it easier to pull-up descriptive and payment information for a particular code.

HFMA January 9, 2024

Comparison of 2024 ASC Addendums AA and FF with October 2023 Addendums

HFMA presents a spreadsheet for relative weights and payment rates for the Ambulatory Surgical Center payment system comparing 2024 to 2023 rates.

HFMA January 9, 2024

2024 Physician Fee Schedule Specialty Impact Tables – Updated

HFMA presents an updated specialty impact tables based on the 2024 Medicare Physician Fee Schedule final rule.

HFMA December 19, 2023

Comparison of 2024 Physician Fee Schedule Final Payment Rates to October 2023 Payment Rates – Updated

HFMA presents an updated spreadsheet comparing the 2024 physician fee schedule payment rates to the 2023 payment rates.

HFMA December 19, 2023

An extended year-end policy update with Nick Hut and Shawn Stack

HFMA Senior Editor Nick Hut and HFMA Policy Director Shawn Stack discuss the most pressing end-of-year issues for 2023.

Erika Grotto December 18, 2023

New data on national healthcare spending highlights the constraints facing hospitals

Recently published 2022 data indicates relatively restrained national healthcare spending as the COVID-19 pandemic faded, especially in the hospital sector. The increase in spending on hospital services slowed from 4.5% in 2021 to 2.2% in 2022, CMS actuaries reported Dec. 13 in Health Affairs. The increase was significantly less than in 2020 (6.2%) and the…

Nick Hut December 18, 2023

House passes bill to codify healthcare price transparency, expand site-neutral payment

The hospital industry saw reason for both relief and disappointment this week after a bill designed to promote price transparency took a major step toward becoming law. The House on Dec. 11 passed H.R. 5378, also known as the Lower Costs, More Transparency Act, by a 320-71 vote. Along with cementing price transparency as the…

Nick Hut December 12, 2023

News Briefs: Medicare’s hospital outpatient payment rate for 2024 improves marginally from the proposed rule 

The final rule setting Medicare’s 2024 payment rates and policies for hospital outpatient services and ambulatory surgical centers (ASCs) contained little to make hospitals optimistic about the government portion of their payer mix.  Base payments for items and services furnished in hospital outpatient settings and ASCs will increase by 3.1% after factoring in the usual…

Nick Hut December 12, 2023

10 Keys to Restoring Trust in Healthcare

The issue of restoring consumer trust in the U.S. healthcare system encompasses a wide range of concerns. Factors in the perceived loss of trust include anxiety and confusion over costs, entrenched inequity, a glut of misinformation about vaccines and other treatments, and data and privacy breaches. To examine the problem and explore solutions, HFMA’s 16th…

Nick Hut December 7, 2023

CY 2024 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 2024 and other revisions to Medicare Part B policies. Part III covers the updates to the Quality Payment Program.

HFMA December 4, 2023
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