Regulatory and Accounting Resources

Compilation of various resources pertaining to important regulations published by the Centers for Medicare and Medicaid Services (CMS), IRS, FASB, and other regulatory agencies that impact the healthcare industry.

Featured Resources

Fact Sheet | Technology

Prior Authorization and APIs for Medicaid, CHIP and QHPs Proposed Rule Summary

HFMA presents a detailed summary of the proposed rule published by CMS, which aims to improve the electronic exchange of health care data and streamline prior authorization by building on previously adopted requirements pertaining to Application Programming Interfaces.

Comment Letter | Payment Reimbursement and Managed Care

HFMA Comments on Most Favored Nation (MFN) Model Interim Final Rule

HFMA presents its December 18, 2020, comment letter to CMS regarding the Most Favored Nation (MFN) Model Interim Final Rule.

Fact Sheet | Payment Reimbursement and Managed Care

CY 2021 Physician Fee Schedule Final Rule (and Interim Final Rules) Summary - Part I

HFMA presents a detailed summary of the CY 2021 physician fee schedule final rule and interim final rules, except the Quality Payment Program.

All Regulatory and Accounting Resources

Fact Sheets

HFMA members can access all of our regulatory fact sheets, summaries, presentations, and tools published since 2011.

Principles & Practices Board Guidance

The P & P Board works with the AICPA, the Financial Accounting Standards Board, and the Government Accounting Standards Board to address the unique financial reporting needs of healthcare organizations.

Comment Letters to Regulatory Agencies

Access all of our comment letters issued since 2012.

Community Benefit & Transparency Tools

HFMA compiled these resources for hospitals and health systems to assist with complying with the requirement to list standard charges online and to explain the procedures around charity care.

On-Demand Education on Healthcare Finance Regulations

This list of resources includes documents and insights on the ACA, physician relationships, readmissions, charity care, bundled payment and other related payment reform topics.

Healthcare's First Cost Accounting Adoption Model

HFMA and Strata are introducing the L7 Cost Accounting Adoption Model to help healthcare providers access accurate cost data via the use of advacned cost accounting.