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HFMA
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CY2019 Home Health Prospective Payment System Proposed Rule: HFMA Executive Summary
This document summarizes the proposed rule updating payment rates under the home health PPS for CY2019, published by CMS.
Self-Pay Transparency in Colorado: What the Law Says
Colorado’s Transparency in Direct Pay Health Care Prices Act requires health facilities to publish online the self-pay prices of their 50 most-used DRG codes and the 25 most-used CPT codes.
Exemptions to Anthem’s ED Policy
Anthem will not deny an ED claim based on the prudent layperson standard if certain conditions apply.
Ask the Experts: Physician Practice System Implementation
Is there a template for a new physician practice management system implementation plan geared towards denial management and collection modules?
Ask the Experts: Reporting Fraud
What types of systems are most hospitals using to allow employees to report fraud?
Billing Processes Need Overhaul as Patient Payments Increase
The challenge of increasing patient financial responsibility is compounded by consumers’ confusion with billing documents.
Definition of “Employer” under Section 3(5) of ERISA – Association Health Plans Final Rule Executive Summary
This document summarizes the Employee Benefits Security Administration's Association Health Plans final rule, published in the June 21, 2018, Federal Register.
Keys to Growing High-Value Service Lines
Growing top-performing service lines can be an effective strategy for healthcare organizations to advance their business objectives.
Video: Denials and the Revenue Cycle
David Dyke, former vice president of product management for Change Healthcare, discusses how to reduce denials that disrupt the revenue cycle and how to keep up with changing rules around claims.
HFMA Comments on FY2019 IPPS Proposed Rule
HFMA submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the FY2019 IPPS proposed rule published in the May 7, 2018, Federal Register.