Reimbursement

Legislation to raise the debt ceiling is one of a limited number of “must pass” bills that healthcare policy changes can “ride on.”

A relatively new employer trend of making healthcare navigators available to insured employees has caught the attention of the Trump administration’s healthcare policy leader.

Congress is almost certain not to accept president Trump’s proposed budget for FY20 with its cuts to Medicare and Medicaid, but he is not the first president to propose a budget that has little chance of being accepted.

Policymakers should take note of results of the recent NAACOs annual ACO survey identifying the top barriers to bearing risk.

May 13—Stay ahead of healthcare news and developments with this listing of hearings, conferences, webinars, contests, public forums and deadlines for the week of May 13. Highlights include HFMA webinars and another Centers for Medicare & Medicaid Services (CMS) webcast detailing the recently released Medicare primary care models.  Monday, May 13 Start of submission period…

Is there a best practice for handling provider level adjustments (PLBs) in electronic health record (EHR) systems?

Where can we find benchmarking data across other skilled nursing facilities related to costs per day for patient care?

With pressure on providers to prove medical necessity and validate code assignments, business office staff must provide more patient information, such as medical records, putting greater demands on their time. Yale New Haven Health addressed this problem by implementing a centralized protected health information (PHI) disclosure management system.

How does your facility track its SSI percentage? Do you rely on the annual publication of SSI percentages issued by CMS?

Positive operating margins in the Medicare Advantage segment require a shift toward more effectively managing Medicare populations by recognizing their unique needs and characteristics.