Medicare Payment and Reimbursement

Survey Reveals Opportunities for Physician MACRA Education

Most clinicians rely heavily on their physician groups and hospitals to report quality measures and that reliance will continue with Quality Payment Program participation.

Jarrett Lewis July 17, 2017

Overview of the Better Care Reconciliation Act as Drafted on June 28, 2017

This presentation summarizes the Better Care Reconciliation Act as drafted on June 28, 2017.

HFMA June 30, 2017

Part B Drugs Revisited—Yet Again

Payment and pricing for Medicare Part B drugs are subjects of much discussion again following the decision by CMS to withdraw its planned pilot projects for these drugs.

Gail R Wilensky, PhD June 20, 2017

HFMA Comments on CMS’s FY18 IPPS Proposed Rule

HFMA submitted comments to the CMS on the FY18 IPPS proposed rule published in the April 28, 2017, Federal Register.

HFMA June 8, 2017

UAB’s Patient Navigation Program Saves $19 Million Annually

UAB Health System used a novel care model to reduce hospitalizations, emergency department visits, and intensive care stays for patients with complex cancers.

Laura Ramos Hegwer June 1, 2017

Using New Distribution Models to Prepare for Bundled Payment Models

Hospitals that want to reduce costs as part of their bundled payment strategy should consider sales representative relationship changes.

Janie Gentry Bates June 1, 2017

Ask the Experts: Observation Status

How does your facility manage appropriate charging for observation hours, excluding any of the procedure times that are not permitted?

HFMA May 23, 2017

FY18 Proposed Changes to the Long-Term Care Hospital (LTCH) Prospective Payment System

This document summarizes the FY18 payment rate updates under the long-term care hospital prospective payment system (LTCH PPS), published by CMS in the April 28, 2017, Federal Register.

HFMA May 18, 2017

Q&A: Exploring the Nuances of MACRA

Physician practices and other healthcare organizations should be aware of various nuances that will affect their performance in both the MIPS and advanced APM tracks of MACRA.

Nick Hut May 18, 2017

Gauging the Financial Impact of MIPS

The financial impacts of MIPS scores can amount to millions of dollars per organization and will significantly grow over the next several years.

Tom S. Lee May 16, 2017
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