HFMA’s Regulatory Sound Bites: An Overview of the Final 2014 Inpatient Prospective Payment Rule
This presentation outlines FY14 updates to the IPPS payment rates, CMS's quality-promoting programs, and other policy changes.
Double Checking Your Medicare Cost Report
Here are seven issues that need to be correct on your cost report to ensure appropriate Medicare payments.
HFMA Comments on the Medicare Recovery Audit Contractor Program
HFMA addresses the Centers for Medicare & Medicaid Services (CMS) in a proactive comment on issues related to the Medicare Recovery Audit Contractor (RAC) program.
CMS Open Door Forum: 2-Midnight Rule
On Tuesday, Sept. 26, 2013, CMS hosted a second, much anticipated, follow-up call to allow providers and other interested parties to ask questions pertaining to those areas of the two-midnight provision contained in the FY14 inpatient PPS final rule, which pertains to physician order and certification, inpatient hospital admission, and medical review criteria.
Learnings from the Front Lines: Physician Co-Management at Columbus Regional Health
Given the success of its surgical co-management program and employee gainsharing arrangement, the health system is considering a similar program for the ED and is positioning the organization to take on risk-based contracts.
HFMA Comment Letter to CMS: FY14 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals
HFMA prepared a comment letter on key issues contained in CMS's 2014 Hospital Outpatient Prospective Payment Systems for Acute Care Hospitals.
FY14 IPPS Final Rule Overview
This fact sheet contains information on the updates to hospital payment rates under the inpatient prospective payment system for fiscal year 2014.
Fact Sheet: Standards for Consumer Assistance Programs for Healthcare Insurance Exchanges
This fact sheet provides details of CMS's rule outlining training requirements applicable to assistance personnel in healthcare insurance exchanges mandated under the Affordable Care Act.
At a Glance: What the Final Health Insurance Exchange Navigator Rule Means for Providers
Can hospitals and health systems serve as navigators or other assisters for the health insurance marketplaces? Here’s what the CMS final rule has to say.
When and How ERISA Can Protect Providers in an Audit Situation
Here are some specifics providers should know about ERISA and commercial audits.