Finance & Reimbursement

About Finance & Reimbursement

stethoscope on medical billing statement

Vulnerable Californians who rely on the care provided by California hospitals are at risk. Driven by skyrocketing costs for labor, pharmaceuticals, regulatory mandates, and more, 53% of all hospitals statewide lose money every day to deliver patient care.

That isn’t sustainable. And California is already seeing the frightening result: rural health care services being cut to the bone, severe behavioral health care needs not being met, and more.

CHA Alert: Action Needed on Distressed Hospital Loan Program, Hospital Mandates Bills

What’s happening: Earlier this week, CHA issued a dual alert asking members to sign on to coalition letters for its two sponsor bills: Assembly Bill (AB) 2353 (Pacheco, D-Downey), which would require an independent cost evaluation of mandates on hospitals, and AB 1923 (Soria, D-Merced), which would revive the Distressed Hospital Loan Program. For AB 2353, members should also submit a support letter highlighting previously imposed mandates that have caused the hospital to...

Medicare IRF Review Choice Demonstration – What You Need to Know

The Centers for Medicare & Medicaid Services (CMS) is expanding the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility (IRF) Services to California, forcing all California IRFs to choose between either 100% pre-claim review or 100% post-payment review. That decision must be made by April 14.