Payment Reimbursement and Managed Care

News

Stay up-to-date with HFMA's regularly published news that covers regulatory and legislative changes and healthcare finance trends.

HFMA September 13, 2021

AMA releases 2022 CPT code set with new options that apply to COVID-19 vaccination, digital care services and more

The new set features more than 400 CPT code changes from 2021.

Nick Hut September 10, 2021

COVID-19 vaccination of staff now a condition of participation in Medicare and Medicaid, CMS announces

In a major expansion of COVID-19 vaccine requirements, the Biden administration announced Sept. 9 that all staff working at Medicare- and Medicaid-certified facilities must receive the vaccine.

Nick Hut September 9, 2021

Report by Medicare trustees describes a daunting payment picture for healthcare providers

The Medicare Hospital Insurance Trust Fund is on course to run out of money by 2026, and that assessment wasn’t the only concerning part for hospitals in a new government report.

Nick Hut September 8, 2021

HHS can continue using Worksheet S-10 to calculate uncompensated care payments after federal court ruling

A federal district court dealt hospitals a defeat in a case about uncompensated care payments, issuing a summary judgment in favor of the U.S. Department of Health and Human Services.

Nick Hut September 7, 2021

Healthcare News of Note: Providers should continue forward movement on improving digital patient access, survey suggests

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Expectations for convenient access to care in the pandemic era, a look at ICU bed use across the U.S., and the cost of hospitalizations among unvaccinated adults.

Deborah Filipek September 3, 2021

Cost reporting in the time of COVID-19 could have an impact on hospital payment

The changes due to the COVID-19 pandemic that hospitals must report in their annual cost reports will be pervasive throughout the reported data. Given that CMS and some state agencies use cost reports i9nformation to establish future rates, it is critical that hospitals exercise heightened due diligence in preparing their cost reports throughout the public health emergency.

K. Michael Nichols, FHFMA, CPA September 2, 2021

Financial Sustainability Report: August 2021

The August 2021 issue of the Financial Sustainability Report, sponsored by Kaufman Hall, explores the impacts of COVID-19 on hospital cost reporting and financial statements, and why a hospital’s future payment levels may depend on its due diligence around these processes today.

HFMA September 1, 2021

4 keys to sustaining financial viability in the shift to value

A leading ACO in Texas has found a way to thrive despite systemic factors that can discourage value-based initiatives.

Andrew Ziskind, MD August 30, 2021

HFMA’s editorial team earns 16 awards for excellence

HFMA’s editorial team earned a total of 12 awards in 2021 for articles published in hfm and four awards for episodes of the Association’s “Voices in Healthcare Finance” podcast produced in 2020.

Deborah Filipek August 27, 2021
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