Audit and Internal Controls

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…

Nick Hut April 28, 2023

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.

Jennifer Novoseletsky December 1, 2022

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.

HFMA August 31, 2022

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.

Eric C. Reese, PhD January 22, 2021

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.

Rich Daly December 23, 2020

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.

Rich Daly December 21, 2020

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.

Rich Daly December 17, 2020

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.

Rich Daly October 6, 2020

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.

Chad Mulvany, FHFMA July 22, 2020

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.

Rich Daly June 24, 2020
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