Payment Reimbursement and Managed Care

May 13-17: See what events are coming in healthcare

May 13—Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, contests, public forums and deadlines for the week of May 13. Highlights include HFMA webinars and another Centers for Medicare & Medicaid Services (CMS) webcast detailing the recently released Medicare primary care models.  Monday, May 13 Start of submission period…

Rich Daly 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

Improving PHI Disclosure Efficiency in the Business Office

With pressure on providers to prove medical necessity and validate code assignments, business office staff must provide more patient information, such as medical records, putting greater demands on their time. Yale New Haven Health addressed this problem by implementing a centralized protected health information (PHI) disclosure management system.

Kim Charland, BA, RHIT, CCS May 14, 2019

Ask the Experts: SSI percentage and eligibility

How does your facility track its SSI percentage? Do you rely on the annual publication of SSI percentages issued by CMS?

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

Bundled payment model begins accepting additional applicants

April 30—Following early withdrawals, the largest voluntary bundled payment program is offering a last chance for new participants to sign up. The Centers for Medicare & Medicaid Services (CMS) recently opened enrollment for the second cohort of the Bundled Payment for Care Improvement Advanced (BPCI-A) program. The new cohort of participants will begin in January 2020, the…

Rich Daly May 9, 2019

Several new Medicare primary care payment models to launch in 2020

Medicare eventually hopes to pay 25% of fee-for-service physicians under one of five primary care models planned for launch in 2020.

Rich Daly May 9, 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

Will a quarter of primary care physicians join the new Medicare payment models?

The Trump administration envisions the five coming primary care models that were unveiled this week to include one-quarter of such clinicians. But Medicare advisers and others are split on whether many providers can succeed in the models.

Rich Daly May 9, 2019
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