HFMA’s Regulatory Sound Bites: An Overview of the Final 2016 Inpatient Prospective Payment System Rule
This presentation provides a summary of 2016 inpatient prospective payment system updates that affect inpatient acute care hospitals.
Executive Summary – CY 2016 OPPS Final Rule
This summary features the top 10 issues providers need to understand from the CY16 outpatient prospective payment system (OPPS) final rule, published in the November 13, 2015, Federal Register.
HFMA Legislative Update Bipartisan Budget Act of 2015
This legislative update provides answers to questions pertaining to Section 603 of the Bipartisan Budget Act of 2015 implementing (with limited exemptions) site neutral payments for new Provider-Based Hospital Outpatient Departments.
Utilization Review Reduces Inpatient Denials
Covenant Health’s utilization review strategies have helped the health system recoup the difference between inpatient and observation status payments.
Discharge Planning CMS Proposal
CMS has published a proposed rule to modernize discharge planning requirements to improve patient care, reduce complications, and avoid readmissions.
HFMA Comments on the HRSA 340B Drug Pricing Program Omnibus Guidance
The 340B program stretches resources for care to indigent and at-risk populations. Without this program, these individuals would find more difficulty in finding ready access to care and medications.
CY16 Medicare Physician Fee Schedule Proposed Rule Fact Sheet
CMS has released a proposed rule revising payment polices under the Medicare Physician Fee Schedule for calendar year 2016 (CY16).
FY16 IPPS Final Rule Fact Sheet
This document summarizes the updates to the reimbursement payment rates to hospitals under the inpatient prospective payment system for FY16.
HFMA Comments on CMS’s CY16 Physician Fee Schedule Proposed Rule
HFMA comments on the 2016 Medicare Program; revisions to payment policies (including advance care planning) under the physician fee schedule for CY 2016.
340B Drug Pricing Program Proposed Guidance Summary
This executive summary highlights important components of the Health Resources and Services Administration’s (HRSA) proposed 340B “Mega-Guidance.”