8 ways healthcare providers can smooth the DRG audit process
A health system’s financial sustainability depends on its being paid appropriately for the services it delivers. Yet routine payer audits can all too often result in downgrades of a health system’s billed diagnosis-related groups (DRGs), resulting in lower payment. It therefore behooves health systems to be well prepared for such audits and thoroughly understand why payers’ are most inclined to take such action.
Eric Jordahl: Preparing health system balance sheets for the journey to normalization
The Federal Reserve's recent signal that it will transition to a tighter monetary policy is an indication that the organization and the economy have entered a new, more stable stage.
Paul Keckley: The healthcare regulatory climate for 2022 — What to expect
Hospitals, physicians and long-term care and ancillary service providers can anticipate significant changes in the regulatory climate in 2022. Although such changes are predictable, context is key: Regulatory policymaking in healthcare in the current environment is limited by disfunctional gridlock in Congress, the fact that 2022 is a mid-term election year and a high level of public anxiety about the economy and healthcare.
News Briefs: Supreme Court ruling allows the COVID-19 vaccine mandate for healthcare workers to proceed
A roundup of top news stories for healthcare finance professionals.
Joe Fifer: Reflections on the pandemic, year 3, and its impact on healthcare’s frontline workers
HFMA President and CEO Joe Fifer shares a perspective on ways to acknowledge healthcare’s frontline workers as the third year of the COVID-19 pandemic begins.
Tammie Jackson: In healthcare finance, bold pursuits require persistence and curiosity
HFMA's 2021-22 Chair says addressing health system challenges such as racial and ethnic disparities in quality of care and limited access to care among some populations due to social determinants of health requires boldness and persistence.
JIll Geisler: Resolve to give your team the gift of time (well spent)
Leaders are one of the greatest influences on work-life harmony. Jill Geisler shares how healthcare finance leaders can give their teams the gift of time well spent and create a culture where work-life harmony flourishes.
Bold pursuits require persistence and curiosity
I hope this message finds you and your family safe, healthy and having had the opportunity to enjoy the holiday season. Safe and healthy is no small hurdle to surpass as of late. Over the past few months, we have encountered tornadoes, fires, storms and a new COVID variant that is making its way through…
Success Awards presented at 2021 Annual Conference
Ten HFMA chapters and three regions have been named as the first-ever winners of HFMA’s Success Award. The new award was established by HFMA’s Regional Executive Council to recognize positive outcomes resulting from the Chapter Success Plan. The plan is designed to help chapters focus on improving and sustaining excellence in four key areas: individual…
Former HFMA National Board member Goldstein joins Kaufman Hall
Lisa Goldstein, MPA, a leading expert in not-for-profit healthcare, has joined Kaufman, Hall & Associates, LLC, as a senior vice president. Goldstein previously was an associate managing director for Moody’s Investors Service, where she managed the agency’s U.S. not-for-profit healthcare ratings team and oversaw the accuracy, consistency and monitoring of its not-for-profit hospital ratings. Goldstein…