False Claims Act Penalties are Rising
A recent increase in false claims penalties and a Supreme Court case placing the burden on healthcare organizations to be aware of payment requirements, necessitates that hospital compliance officers redouble efforts to prevent false claims.
New HIPAA Audits About to Begin
Both desk and on-site HIPAA audits will be performed, and every covered healthcare entity and business associate is eligible for an audit.
Interstate Compact Eases Licensure, Improves Quality of Care
Currently, 17 states have adopted compacts to help physician specialists practice across state lines, opening the door for telemedicine opportunities.
Two-Midnight Rule Redux
Concerns about the two-midnight rule continue, but experts insist that they can be overcome with better education of utilization review and case management staff.
Supreme Court to Hear Fraud Case
Depending on a Supreme Court decision later this year, false claims plaintiffs and their attorneys may have wider latitude to bring lawsuits.
Acting on the Signs and Solutions of Financial Distress
Hospitals and health systems will find the solutions to financial distress more palatable if they recognize the warning signs early and act appropriately to address them.
Concerns Raised Over Changes to 340B Program
As healthcare stakeholders await expected 340B Drug Pricing Program changes, Henry Ford Health System shares how it structures its related compliance efforts.
NLRB Expands ‘Joint-Employer’ Concept
Expansion of the joint-employer concept could have implications for hospitals and other providers who use staffing agencies.
HIPAA Breaches: Eight Lessons Learned
A healthcare attorney shares eight critical lessons from dealing with HIPAA breach issues.
Avoiding and Managing CMS Audits
A revenue cycle director and a healthcare attorney share tips for avoiding CMS audits and managing claim denial appeals.