* * * * * 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 »
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 »
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 »
Between the New to Healthcare and the Accounting and Regulatory Technical Update, we’ve had two wonderful educational events in the past few weeks. Below are some pictures from these two events. If you have photos from HFMA that you’d like featured on the blog, please email them to admin@ma-ri-hfma.org. New to Healthcare Seminar & Networking: Accounting… Read More »
Our chapter has a full schedule in November! With two in-person programs and one webinar in before Thanksgiving, there’s something on the agenda for everyone. Capital Finance Seminar: Debt Management and Risk Management–From Basic to Complex November 1–Bank of America Merrill Lynch, 225 Franklin Street, Boston, MA 02110 Join us for an afternoon program highlighting debt finance and enterprise… Read More »
The Trump Administration is moving full speed ahead with its proposals under the Blueprint to Lower Drug Prices (the “Blueprint”). Earlier this week, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule that would require pharmaceutical manufacturers to disclose the list price of their pharmaceutical products in direct-to-consumer (“DTC”) television ads (the “Proposed Rule”). This comes only a week… Read More »
The HFMA MA-RI Capital Finance seminar on debt management and risk management will be held on Thursday, November 1st from 1:15-6:00 at Bank of America Merrill Lynch in downtown Boston. For many companies, the CFO organization is responsible for managing debt capital and overseeing enterprise risk management. An effective risk management framework seeks to protect an organization’s capital… Read More »
Many of you are likely aware that the Centers for Medicare and Medicaid Services (CMS) released the following rule for comment, which were due in September: Medicare Program Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability… Read More »
This fall two of the HFMA MA-RI Chapter’s Committees, the Enterprise Performance Management / Physician Practice Management Committee and the Managed Care Committee merged to form the newly founded “Healthcare Delivery Transformation Committee.” The merger is a result of the changing healthcare delivery landscape; there are far more similarities than differences among the operational and financial concerns of managed… Read More »
Many of the HFMA members reading this blog post are likely defined as “knowledge workers” – a term coined by management guru Peter Drucker back in the mid-20th century. Knowledge workers are individuals who work with their heads, not their hands (maybe other than to utilize Excel and PowerPoint to the point of exhaustion) to plan, contribute, and… Read More »
