Medicare Payment and Reimbursement

HFMA Submits Recommendations to Medicare Red Tape Relief Project

HFMA submitted recommendations to the Committee on Ways and Means, Subcommittee on Health.

HFMA August 18, 2017

How CMS Leveled the Playing Field for Hospital Readmission Penalties

A new rule finalized by CMS acknowledges that charging hospitals with higher percentages of dual eligibles the same readmission penalties as hospitals with fewer of these patients. The proposed penalty adjustment will reflect the challenges facing each hospital's populations.

Erin Murphy August 14, 2017

Hospice Programs Save Costs, Reduce Readmissions

Applying hospice home based skills to hospital care and strategic planning may reduce patient stays.“There are many lessons hospitals can learn from hospice providers,” says John Mastrojohn III, executive vice president and COO of the National Hospice and Palliative Care

HFMA August 10, 2017

Evidence-based Guidelines Can Lead ACOs Toward MACRA Success

Joe Guerriero describes opportunities for ACOs enrolled in Medicare programs.

Joe Guerriero August 9, 2017

Executive Summary: CMS 2018 IPPS Final Rule

HFMA summarizes the Centers for Medicare & Medicaid Services' 2018 Inpatient Prospective Payment System Final Rule.

HFMA August 8, 2017

Catching Up on Your MIPS Strategy

A MIPS implementation plan involves creating a team, choosing metrics and a reporting mechanism, and looking at the new Medicare Part B payment model as part of your broader payer strategy.

Laura Ramos Hegwer August 7, 2017

Proposed 2018 OPPS/ASC Rule Summary

This document provides a detailed summary of the CY 2018 OPPS/ASC proposed rule, published by CMS.

HFMA August 4, 2017

Medicare Advantage 2.0: Next Generation Growth Strategies

Healthcare organizations looking to expand their Medicare Advantage programs should look to market data for guidance.

Cary Badger July 31, 2017

Taking Control of Pay-For-Performance Contracts

To ensure their organizations perform effectively under risk contracts, healthcare finance leaders should implement a work plan to manage the contracts.

Paul Selivanoff, CPA July 31, 2017

Executive Summary: Proposed 2018 OPPS/ASC Rule

This document provides a brief summary of the 2018 OPPS/ASC proposed rule updates.

HFMA July 19, 2017
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