HFMA Supports the Two-Midnight Rule Delay Act (H.R. 3698)
HFMA believes a workable approach is to delay enforcement of the two-midnight rule until October 1, 2014. During this delay, CMS will work with stakeholders to develop alternate policy solutions.
CY14 OPPS Final Rule Fact Sheet
This document summarizes the updates to the OPPS final rule for CY14.
The Physician Value-Based Payment Modifier: Summary of National Provider Call
Beginning in 2015, physicians will be financially rewarded by Medicare for providing higher-quality, more efficient care. Here’s what CMS told providers about the payment adjustment during a Dec. 3 call.
FY14 IPPS Changes to Certain Cost Reporting Procedures Related to DSH Uncompensated Care Payments
This fact sheet summarizes the changes to the operational procedures for reconciling Medicare disproportionate care payments for hospitals with cost reporting periods spanning more than one federal fiscal year.
Forum Webinar: Laying the Groundwork for Bundled Payment Success
Forum members have exclusive access to the audio and slides from the Nov. 5 Forum Networking Webinar on bundled payment, as well as past events on KPIs, ICD-10, and physician compensation, among other topics.
HFMA’s Regulatory Sound Bites: An Overview of the Final 2014 Inpatient Prospective Payment Rule
This presentation outlines FY14 updates to the IPPS payment rates, CMS's quality-promoting programs, and other policy changes.
Double Checking Your Medicare Cost Report
Here are seven issues that need to be correct on your cost report to ensure appropriate Medicare payments.
HFMA Comments on the Medicare Recovery Audit Contractor Program
HFMA addresses the Centers for Medicare & Medicaid Services (CMS) in a proactive comment on issues related to the Medicare Recovery Audit Contractor (RAC) program.
CMS Open Door Forum: 2-Midnight Rule
On Tuesday, Sept. 26, 2013, CMS hosted a second, much anticipated, follow-up call to allow providers and other interested parties to ask questions pertaining to those areas of the two-midnight provision contained in the FY14 inpatient PPS final rule, which pertains to physician order and certification, inpatient hospital admission, and medical review criteria.
Learnings from the Front Lines: Physician Co-Management at Columbus Regional Health
Given the success of its surgical co-management program and employee gainsharing arrangement, the health system is considering a similar program for the ED and is positioning the organization to take on risk-based contracts.