Reimbursement

A caveat: A cardiac procedure performed in an ASC may cost a Medicare beneficiary more

For Medicare beneficiaries who are considering out-of-pocket costs for the cardiac services that CMS has approved to be performed in ambulatory surgery centers (ASCs), hospitals could be a more attractive site of service.

By Ronald Hirsch, MD, FACP, CHCQM June 10, 2019

Inconsistent address data could delay Medicare payments

One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.

By Rich Daly June 7, 2019

Mandates related to pricing, Medicare participation lead hospital concerns over healthcare IT proposed rules

Hospitals supported many of the transparency goals of two proposed healthcare IT rules, but two areas drew sharp concerns.

By Rich Daly June 5, 2019

Analysis: Movement seen on overdue Medicare Discharge Planning Rule

The Medicare Discharge Planning Rule, which was sent to the Office of Management and Budget last week, would require hospitals to provide patients with data to help guide their selection of a post-acute care provider.

By Chad Mulvany, FHFMA May 31, 2019

Analysis: Why some participants are likely to leave the Oncology Care Model

Some participants in CMS’s Oncology Care Model may exit the program instead of being transitioned into a two-sided risk model.

By Chad Mulvany, FHFMA May 31, 2019

June 2-7: See what events are coming in healthcare

Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, public forums and deadlines for the week of June 2.

By Rich Daly May 31, 2019

Arbitration approach the most likely option among pending surprise-bill legislation: analysts

Among numerous legislative approaches proposed to eliminate surprise healthcare bills, an approach using arbitration remains most popular in Congress, say legislative analysts.

By Rich Daly May 30, 2019

Analysis: CMS announces ET3 FAQs and request for applications

Chad Mulvany says watching how CMMI’s Emergency Triage, Treat and Transport model rolls out will be interesting because of the potential impact on Medicare ED visits and related inpatient admissions.

By Chad Mulvany, FHFMA May 30, 2019

Analysis: 4 significant findings from the recent AMGA Physician Risk Survey

HFMA’s Chad Mulvany discusses four findings from the latest AMGA Physician Risk Survey about the transition to alternative payment models and risk.

By Chad Mulvany, FHFMA May 30, 2019

DHG Healthcare: Optimizing CDI for Bundled Payment Arrangements

A discussion of common clinical documentation gaps that organizations pursuing bundled payment arrangements must close and key strategies for addressing these issues.

By HFMA May 30, 2019
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