Medicare Payment and Reimbursement

FY18 IPPS Proposed Rule Summary

This document provides a comprehensive summary of the FY18 IPPS proposed rule, published by CMS.

HFMA May 11, 2017

Health Systems Brace for MACRA

Hospitals and health systems are working to help their physicians succeed under MACRA, which means moving quickly to advanced APMs.

Rich Daly May 11, 2017

CMS’s 2018 IPPS Proposed Rule and RFI: Signaling the Trump Administration’s Deregulation Agenda

Ken Perez describes the connection between the effort to repeal and replace the Affordable Care Act and a new proposed rule and request for information by CMS.

Ken Perez May 8, 2017

Time for a Medicare Check-Up

A “Medicare check-up” can ensure a hospital is complying with regulations and maximizing revenue opportunities.

Charles L. Buttz April 28, 2017

HFMA Comments on CMS’s EPM IFR

HFMA submitted comments to CMS on EPMs; Cardiac Rehabilitation Incentive Payment Model; and Changes to the CJR; Delay of Effective Date interim final rule 

HFMA April 20, 2017

Executive Summary: CMS 2018 IPPS Proposed Rule

This summary contains key financial and operational impacts from the FY18 IPPS proposed rule, published by CMS.

HFMA April 20, 2017

Managing Transitional and Chronic Care Profitably: A Guide for Hospital-Owned Physician Practices

CMS offers an attractive incentive for healthcare organizations that participate in transitional care management and chronic care management programs.

Cathy Zito April 5, 2017

Beyond the Medicare Annual Well Visit: Maximizing Revenue for Hospital-Owned Practices

Medicare-covered services may present a new source of revenue for hospital-owned physician practices.

Cathy Zito February 21, 2017

Hospitals Face Challenges From Medicare Cost and Payment Trends

An analysis finds that Medicare payments for hospital admissions are declining even as hospitals’ cost per admission is rising, pointing to an increased need for aggressive cost containment efforts by hospitals.

HFMA February 21, 2017

Managing the Ethical Aspects of MACRA

Value is the key driver and organizing principle of MACRA and MIPS. Therefore, it is critical to define value from the view of different healthcare stakeholders.

William Marty Martin February 14, 2017
googletag.cmd.push( function () { googletag.display( 'hfma-gpt-leaderboard' ); } );