Healthcare Financial Management

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Articles in Oct, 2004 issue of Healthcare Financial Management

• Joseph M. Lemaire, CPA
• Quotes of note
  by Jeanne Schulte Scott
• Medicare carrier identifies top 10 billing errors
• CMS clarifies use of SNF bill type 22X
• 3 steps for optimizing self-pay outsourcing
  by Maria H. Seman
• There's no profiting from a joint venture misadventure: can a not-for-profit hospital enter a 50/50 joint venture with a for-profit organization and retain its tax exemption? The answer in some circumstances appears to be "yes."
  by Gary W. Herschman
• Creating community connections: hospitals are losing the public relations battle in the conflict over the appropriateness of charging and billing the uninsured
  by Richard L. Clarke
• 5 medical conditions account for 31 percent of healthcare spending growth
• Proposed 2005 outpatient PPS rule includes 3.3 percent update
• Employer-sponsored health premiums average 11.2 percent increase
• Financial Strategy for Managed Care Organizations
  by Lyndon T. Castro
• Laurence Abramson, FHFMA
• Calendar
• Colleen Koppenhaver, FHFMA, CPA
• Access to medical care improves for low-income population
• CMS enhances QIO scope of work
• Tightrope walk: setting defensible prices: the balance between generating a reasonable ROI and setting reasonable prices is not always easy for hospitals to maintain
  by William O. Cleverley
• Medical necessity denials: prevention pays off
• Report questions value of consumer-directed health care
• IRS targets not-for-profit compensation practices
• HFMA offers third-party evaluation through peer review
• DRGs are key to assessing admissions through the ED
• David Okabe, CPA
• Coding and billing tool available
• Julie Apel
• Study: drugs are not fastest-growing hospital cost
• CMS issues instructions on CAH distinct part units
• Job: security 7 steps for HIPAA compliance: taking a proactive stance is your top job for effective information security
  by Lynda M. Johnson
• Raising the performance of owned physician practices: owning a group practice remains a viable strategy for hospitals and health systems. For one system, success has come by vesting the group with control of the financials
  by Smokey Stover
• Number of uninsured continues to rise
• Payment for care to undocumented aliens moves closer
• Capital outlook holds challenges, opportunities
• Spotlight on HFMA members: reflections on the 2003 and 2004 HFMA U.S./U.K. Exchanges
  by Blaine O'Connell
• Melony Williams Goodhand
• Debra Greene-Lowe
• … Effective October 1, Medicare hospice rates for FY05 will increase 3.3 percent, according to a recent CMS transmittal
• Hospital wholesale prices leap
• New CMS council to speed medicare coverage of new treatments/technology
• Pardon me: that's our money! Healthcare organizations need to protect their not-for-profit corporate assets from charitable trust treatment
  by Michael W. Peregrine
• 5 reasons CFOs get fired: CFOs are accustomed to taking a lot of heat, but when the heat turns into a firing, charred CFOs may be left asking the question, "What went wrong?"
  by J. Larry Tyler
• CMS seeks help with drug benefit subsidy options
• Clarke makes 100 most powerful list
• Are the states' budget crises over? Higher education. Chop! Social services. Chop! Health care. Chop!
  by Lee Dixon
• Management's role in IT project failures: senior managers obviously have great interest in seeing that projects become successful. Yet despite best intentions, all too often they wind up playing a pivotal role in ensuring project failure
  by John Glaser
• Michelle Kakazu
• For-profit hospitals sued
• … In an August 17 letter directed to states, CMS encouraged Medicaid directors to adopt approaches that would give elderly and disabled individuals more control over how they obtain the long-term care services they need
• Healthcare joint ventures a CFO primer
  by John R. Boettiger, Jr.
• Medicare's compare databases with a long-term care mission: because consumer perceptions of quality today may substantially affect tomorrow's healthcare revenues, hospitals should learn about and use Medicare's new long-term care databases
  by Paul L. Grimaldi
• 2003-2004 annual report
  by David P. Canfield
• Lifepoint to acquire Province Healthcare
• Setting the quality standard: everyday healthcare publication I read these days has an article about another organization that is creating hospital "report cards."
  by Joyce Zimowski
• Progress review: essential to keeping your plan on track: many healthcare organizations report great success in developing sound growth plans. And some are even quite effective at following through with their plans
  by Alan M. Zuckerman