5 issues that are keeping healthcare compliance professionals up at night
Rarely has the compliance landscape been more muddled or presented more of a challenge for healthcare organizations. “I’ve been a compliance officer for about 20 years now, and I’ve been in healthcare forever,” said Kirsten Wild, RN, a nurse by background who now owns a healthcare compliance consultancy. “But the volume and the pace of…
Clinical audits and denials impact 3% or more of NPR being held in reserve
This pulse survey shows how healthcare organizations are currently tracking health system’s audits and denials from government and commercial payers.
Panacea provides innovative chargemaster, transparent pricing, auditing, compliance and revenue integrity solutions
One company’s software development provides both consultants and clients with solutions for optimum chargemaster, complying with CMS price transparency rules, identifying lost and new incremental revenue and more.
Why the internal audit function serves as a bulwark against risk for healthcare organizations
Internal audit is a risk-management function that becomes increasingly important for hospitals and health systems in times of crisis, such as the COVID-19 pandemic.
CMS plans aggressive price transparency enforcement while hospitals urge a halt to the new rules
CMS plans aggressive enforcement of the looming hospital price transparency requirements, as hospitals urge judicial and Biden administration interventions.
Provider responses to prospective compromise on surprise billing range from concerns to opposition
Congressional healthcare committees are urging leaders to include a “compromise” on surprise medical bills in year-end legislation, but providers are worried about it.
HHS starts distribution of $24 billion more in COVID grants but rejects one-third of applicants
More than 70,000 providers will share in the latest round of Provider Relief Fund grants, which total $24.5 billion.
Public health emergency extended, $20 billion more in provider aid to be released
The COVID-19 public health emergency was extended to January and a new round of federal funding was issued for ongoing pandemic-response expenses.
Everything you wanted to know about the CARES Act PRF but HHS was afraid to answer through July 16
HFMA's Chad Mulvany says taxing for-profit providers’ PRF funding seems counterproductive, counterintuitive and counter to Congress’s intention, and could particularly hurt independent physician practices.
CARES Act accounting implications will vary by healthcare type
The accounting rules for providers receiving funding through the CARES Act will vary widely by provider type.