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Data + Insights
- Consumerism Maturity Model
- Data + Insights 3rd party copy save
- HFMA’s MAP Initiative
- HFMA Compensation Benchmarks
- Data + Insights Overview
- Guidehouse Payvider
- HFMA Peer Review
- MAP KEY Connect
- GuideIQ, powered by Guidehouse – pre launch page
- GuideIQ, powered by Guidehouse
- Harness Price Transparency with Turquoise Health
- HFMA Health System Purchase Plans 2023
- HFMA Health System Purchase Plans 2023
- parent page test – jean
- Navigate the Future of Health Equity with Equity Quotient
- Revenue Cycle Management Technology Adoption Model
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Gated
- The Critical Role of Rehab in COVID-19 Recovery and Beyond
- Digitizing P2P Helps Reduce Costs, Boosts Supplier Relationships
- Supporting financial health with clinical asset reallocation
- Partnering for transformation: SCP Health reduces costs by 28%
- Trends in Hospital Outpatient Revenue Cycle Management
- Mitigating Inflation’s Impact on the Revenue Cycle
- Reduce Readmissions for Complex Pulmonary Patients
- ACO PAC Partnership Survey
- US Healthcare Report: How are Health Systems Embracing IA to Enhance Patient Experience?
- Optimize Physician Reimbursement with Comprehensive, Technology-Enabled RCM Services
- 5 Financial Benefits of Rehabilitation Partnership
- CFO of the Future
- Meeting Today’s Complex Pulmonary Needs Through LTACH Expertise
- How to Maximize your Medigap Market Share
- Improving Patient Financial Engagement Within Rapidly Changing Regulatory Guidelines
- Financial & Clinical Success Through Activity Based Costing
- Know the differences between LTACHs vs SNFs
- What Providers Need to Know about Uncollected Patient Payments
- Now is the Time for Payvider Adoption and Growth
- Get out of the Denial Danger Zone!
- Aging America: Is Your Rehabilitation Program Ready?
- How Health Systems are Navigating their Post-pandemic Future
- Post-Acute Care Survey
- Consumerism After COVID: How to Incorporate a Changing Market Into Your Post-Acute Strategy
- Why team engagement needs to be your number one priority right now
J. Stuart Showalter
About the Author
J. Stuart Showalter
Latest Work
Compliance Analytics: There’s Gold in the Data
Compliance can become a financial asset. For example, data mining provides opportunities to improve vague or incomplete clinical documentation, weak internal communication, overly conservative or inconsistent coding, and physician education, all of which improve the bottom line and reduce risk.
Hospital Requirement to Provide Auxiliary Communication Aids Continues
An appellate court ruled hospitals must continue to provide appropriate auxiliary aids to help hearing impaired patients exchange medical and financial information with hospital staff.
Auditing for Stark Law Compliance
Compliance with the Stark Law requires involving legal, compliance, and other expertise on the front end of the process rather than auditing for problems later.
DOJ Guidance on Compliance Effectiveness
New guidance highlights common questions that prosecutors ask when judging compliance program effectiveness.
Managing the ACA’s Nondiscrimination Provisions
The ACA prohibits discrimination in health programs or activities that receive federal financial assistance. Healthcare providers face the challenges of preventing language barriers that may impact certain patients based on race, as well as current litigation on gender identify.
Legal Concerns in Telemedicine
Although telemedicine provides numerous benefits, it also presents some legal and regulatory challenges. Legal and regulatory concerns can be grouped under three main categories: Licensure laws; privileges and credentials; and confidentiality, privacy, and security.
MOON Form Approved
The MOON notice related to observation status was recently approved.
Over the MOON about the NOTICE Act
Although many healthcare leaders applaud the fact that there is plenty of time to prepare for MOON requirements, there are lingering concerns, including limited patient education in the form and requirements for translating the form into other languages.
Addressing Challenges Presented by Financial Assistance Rules
Although the vast majority of hospitals have been working to implement IRS regulations for patient financial assistance, healthcare leaders should focus on potential problem areas because compliance with all the requirements is necessary to qualify for tax-exempt status.
High Court Decides False Claims Act Case
The Supreme Court ruled that “in some circumstances” hospitals’ implied certification of compliance with payment requirements may make them liable under the False Claims Act, but the decision’s reach is not as expansive as proposed by plaintiffs and the federal government.