Legislation on Surprise Billing Targets Insurers
Sept. 18—Following a recent survey that found the general public blames insurers for unexpected healthcare bills, high-profile draft legislation that would primarily target payers was offered this week.
Don’t Steer Away from Auto Accident Revenue Cycle Challenges
Brad Williams describes helpful strategies for recovering payments due based on patient involvement in auto accidents, which can be difficult to navigate but well worth pursuing.
CY 2019 OPPS/ASC Proposed Rule: HFMA Executive Summary|HFMA
CMS published a proposed rule updating OPPS/ASC payments for CY 2019, in the July 31, 2018, Federal Register.
Mandatory Bundle Gets Early Positive Results
Sept. 14—Hospitals in Medicare’s first mandatory bundled payment model succeeded in cutting Medicare gross spending in their first year, according to a new analysis. The results come as Trump administration executives say they plan to introduce more mandatory models.
Hospitals Express Opposition to E/M Code Changes
Sept. 12—A Medicare proposal to simplify evaluation and management (E/M) codes could hit hospitals’ bottom lines, hospital advocates recently warned the Trump administration.
Will New ACO Findings Save Upside-Only Models?
Sept. 11—A new analysis joins other research in reaching new conclusions about the extent of savings that accountable care organizations (ACOs)—especially upside-only models—provide Medicare. It’s a data battle that could determine whether many ACOs continue.
Health System Demonstrates Meaningful Price Transparency Is Possible
Baptist Memorial Health Care’s online Expense Navigator allows patients to estimate out-of-pocket expenses according to their insurance status and check their eligibility for financial assistance.
PTAC Recommends New Models Amid HHS Promises
Sept. 10—Amid Medicare promises to soon introduce new physician-focused payment models, its leading advisory panel recently approved new models for consideration.
HFMA Comments on the CY 2019 Physician Fee Schedule Proposed Rule
HFMA submits comments to CMS on the CY 2019 Medicare Physician Fee Schedule Proposed Rule, published in the July 27, 2018, Federal Register.
Sept. 10-14: Unified Post-Acute Payment System Emerging
Sept. 6—As post-acute care leaders gather outside Washington, D.C., for a conference next week, a major payment overhaul is coming together.