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Ask the Expert: How Far Can Plans Make Patients Travel?
Can a health plan make a patient travel outside a particular service area (say 40 miles away) to receive care from an exclusively contracted provider?
Ask the Expert: Managed Care Payment Trends
Do you know of any studies that may support managed care payer payment trends to hospitals for 2011, 2012, etc?
Ask the Expert Answer: HIPAA Changes
Is there guidance to ensure that all the recent changes to HIPAA are incorporated in policies, procedures, notices and contracts?
Ask the Expert: Matching Billing to Service Under One Tax ID
We have a variety of business units that bill off different billing systems for unique service lines. How can I get only the funds for each billing area correctly remitted just to that unit?
Ask the Expert: Directing a Decision Support Department
How finance leaders can prepare for a technical decision support role.
Sample Job Description: HIPAA Compliance Coordinator
Any HospitalJob DescriptionTitle HIPAA Compliance CoordinatorMain Function The incumbent is responsible for monitoring the Hospital's compliance with applicable governmental regulations related to the Administrative Simplification elements of the Health Insurance Portability and Accountability Act of 1996 (a.k.a. HIPAA). The incumbent
Calculating Uncompensated Care Costs
Formulas you can use as a guide to gauge uncompensated care costs within your organization.
The Physician Preference Card
Physicians are essentially seeking four things from hospitals, according to Quint Studer, president of Studer Group®, an outcomes based healthcare consulting firm quality, efficiency, input, and appreciation. The Physician Preference Card is one tool that addresses all of these
Ask the Expert: For-Profit or Not-For-Profit?
Should hospitals form a separate corporation to house their physician practices?
Ask the Expert: Recording Meaningful Use Payments
HFMA's Principles & Practices Board is working on publishing guidance on the recording of meaningful use payments.