Reimbursement

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

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

Payment for Behavioral Health Care Is in Catch-Up Mode Under Value-Based Care

Don McDaniel makes a case for an integrated payment model for behavioral and medical services.

Don McDaniel August 3, 2017

The Abuse and Misuse of Observation Services

Lack of limitations on observation status has led to confusion and increased expense among patients. 

Paul Shoemaker August 1, 2017

PAMA’s Impact on Laboratory Margins

Lâle White describes changes to come in 2018 as a result of CMS’s new clinical laboratory fee schedule. 

Lâle White August 1, 2017

Closing the Price Gap for Commodity Services

Healthcare leaders looking to be competitive in certain services must carefully consider strategies to lower prices.

Jamie Cleverly July 31, 2017
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