Signs and symptoms to watch for in evolving compliance areas
Five evolving areas for compliance require attention from a hospital’s or health system’s compliance program: quality of care, patient abuse, quality reporting, emergency preparedness and case management.
The ROI of HIPAA Compliance
Marty Puranik describes the financial benefits of compliance.
Anti-Fraud Overhaul ‘Sprint’ Coming
Jan. 30—In 2019, the Trump administration plans to implement regulatory overhauls of several administrative barriers to the proliferation of value-based payment, according to a senior administration official.
Readmissions Penalty Program May Be Having Little Effect
Jan. 9—Medicare’s $500 million readmissions penalty program may have cut readmissions by only half as much as the half-million that previously was estimated—or not cut them at all, according to new research.
RAC Recoveries Increase, as Problems Persist
Oct. 12—An update of Medicare’s overpayments recoupment program isn’t giving providers much hope for change in a system they say unfairly takes and holds their money for long periods, if not for good.
$1.1 Billion in Provider Regulatory Relief Proposed
Sept. 17—A large portion of the $1.1 billion in ongoing annual regulatory relief proposed this week for providers would come from lower costs for hospital outpatient departments.
Hospitals Identify Needed Stark Reforms
Aug. 24—Hospitals and their advocates urged specific regulatory changes to the enforcement of federal anti-referral laws, even as some industry stakeholders raised concerns about potential changes.
Congress Most Likely Pass Regulatory Reduction Bill, Says Leader
May 8—Although many healthcare issues are calling for congressional action this year, the run-up to the mid-term elections likely will limit legislative advancements to a regulatory relief package, according to a congressional health leader.
April 9-13 Policy Watch: CMS Tells Providers to Prepare for New Medicare Cards
April 6—Providers will start to see new identification cards presented this month by Medicare enrollees, and that may require action steps.
Negotiating Tough Physician Deals: Preparing for Success and Regulatory Compliance
Stuart J. Schaff and Karin Chernoff Kaplan examine how to improve the negotiating position of hospitals and health systems entering into contracts with physicians, while ensuring compliance.