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Prior Authorization and Interoperability for Medicare Advantage, Medicaid, CHIP, and QHPs Proposed Rule Summary
HFMA presents a detailed summary of the proposed rule designed to improve the electronic exchange of health care data and streamline prior authorization processes, while continuing to encourage interoperability in the healthcare market.
FY 2023 Inpatient Psychiatric Facilities Prospective Payment System Final Rule Summary
HFMA presents a detailed summary of the fiscal year (FY ) 2023 Inpatient Psychiatric Facilities (IPF) Prospective Payment System final rule describing updates to IPF rates and payment adjustments and the IPF Quality Reporting Program for FY 2023.
CY 2023 Physician Fee Schedule Final Rule Summary Part III – Quality Payment Program Updates
HFMA presents Part III of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies.
International member spotlight: Aleetta Baby uses certification to enrich her career and look to the future
Aleetta Baby’s enthusiasm for her work is evident in her dedication to learning new skills. “I enjoy working in revenue cycle management because each day presents a new learning opportunity, task or challenge.” Baby, revenue cycle management financial analyst at Sheikh Shakhbout Medical City (SSMC) in Abu Dhabi, has completed her Certified Revenue Cycle Representative (CRCR) certification…
Survey: Understanding and mitigating risk in compensating physicians
Important learnings from a February 2020 HFMA-conducted survey about physician compensation, where healthcare organization leaders offer insights on the complexities of the process.
Vanderbilt Health harnesses data to improve revenue cycle management
Close to half of healthcare finance professionals say in a survey that their organizations are experiencing a severe shortage of revenue cycle management (RCM) talent — and many are exploring automation as a way to keep RCM operations working properly. It’s a move that Vanderbilt Health in Nashville, Tennessee, made just prior to the pandemic — and…
How to automate revenue cycle operations to improve revenue and reduce resource dependency
Even with an increased focus on automation in the industry, too many revenue cycle operational processes remain highly manual and resource intensive. This is especially true for mid-cycle processes. Manual data entry, such as coding, leaves significant room for error and takes longer to complete, leading to slower reimbursement and ultimately impacting the bottom line. Automation…
CY 2023 Physician Fee Schedule Final Rule Summary Part II – Medicare Shared Savings Program Requirements
HFMA presents Part II of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2023 and other revisions to Medicare Part B policies. Part II covers the Medicare Shared Savings Program Requirements.
3 primary areas of focus for effective financial planning
The year 2022 has been one of the most challenging in recent history for hospital and health system operating performance. The year-to-date median operating margin remained in negative territory at -0.3% as of the end of August, according to Kaufman Hall research. Given the challenges, three key areas of financial planning are critically important in…
How healthcare organizations can defend against financial hazards in 2023
What are the most critical strategies to steer healthcare organizations in the direction of financial stability in the following year and beyond? A couple tips include reducing bad debt and accessing external benchmarks for supply pricing.