Category Archives: Industry Topics

Are you curious about Value Based Care?

By | March 9, 2019

If you are interested in learning more about Value Based Care (VBC), join HFMA at the upcoming Health Care Delivery Transformation conference on March 28th. Joshua Mast, Senior Regulatory Strategist at Cerner will provide an introduction and foundation to this topic. He will be demystifying the alphabet soup of VBC, at a high level.  Joshua joined Cerner in… Read More »

Transformation or Disruption? Registration is Open for Our Newest Conference

By | February 13, 2019

We are excited to announce that registration is now open for “Transformation or Disruption: Changing the Focus and Pace of Change in Healthcare Delivery.”  This conference is brought to you by our newly merged Healthcare Delivery Transformation Committee (formerly the EPM/PPM and Managed Care Committees).  The conference will take place on March 28, 2019 at the Four Points by… Read More »

Drug Pricing and Payment Policy: Key 2018 Developments and Potential 2019 Changes and Challenges

Following a number of drug pricing reforms implemented or proposed in 2018, 2019 likely will bring more action from HHS and Congress to reduce drug prices. Key Points: In 2018, the Administration implemented and proposed several policy changes to reduce drug prices or spending, and Congress passed new legislation prohibiting health plans from preventing pharmacies from informing plan… Read More »

Revenue Cycle Conference – Reimagining for a More Efficient Tomorrow

Gillette Stadium once again played host for this year’s Revenue Cycle Conference. However, this year the conference was treated to an unobstructed view of the field, which really was a sight to see! Even though the New England Patriots were getting ready for the AFC Championship game, Coach Belichick thought the attendees should get their money’s worth when… Read More »

Get Ready for the Revenue Cycle Conference

By | January 9, 2019

It’s hard to believe, but the Revenue Cycle Conference at Gillette Stadium is only eight days away!  If you have not yet registered, you can do so online until Monday, January 14th at noon.  Visit this link for registration.  On-site registration will also be available on both Thursday and Friday at the conference. The two day program includes: A… Read More »

Get Ready for the Revenue Cycle Conference

By | December 19, 2018

We’re only four weeks away from this year’s Revenue Cycle Conference and if you are not yet registered, now is the time!  This year’s conference includes two days of educational content at the Putnam Club at Gillette Stadium, more than 50 vendors, Thursday night bowling, and great raffles and giveaways. From cost transparency to population health management, the conference… Read More »

Sponsored Post: Reasons to Be Hopeful About the US Health Industry in 2019

* * * * * This post sponsored by PwC. * * * * * The US health industry is showing signs of modernizing along the lines of tech, retail and hospitality, changes that should benefit consumers and the healthcare system overall. Once thought to operate outside the greater US economy, the industry—with its byzantine payment system, complicated… Read More »

Managing Compliance Risks within a Small Organization or with a Smaller Compliance Team

By | December 3, 2018

In the current, ever-changing regulatory environment, smaller compliance teams face unique changes. The OIG’s supplemental Compliance Program Guidance[1] published in 2005 states that ‘there is no single “best” hospital compliance program. Some hospital entities are small and may have limited resources to devote to compliance measures; others are affiliated with well-established, large, multi-facility organizations with a widely dispersed… Read More »

Harder than It Looks: Appropriate Use of the CMS Advanced Beneficiary Notice (ABN)

Of all the acronyms that Medicare patients become familiar with, the “ABN” is certainly not one of the favorites. An ABN, or “Advance Beneficiary Notice” is a waiver form that alerts a patient that a test or procedure will likely not be covered by Medicare, usually due to CMS medical necessity requirements regarding required diagnoses for coverage or… Read More »