Compliance

HHS should ensure 340B hospitals remain eligible despite changes in payer mix, AHA says

Hospitals participating in the 340B Drug Pricing Program could lose access due to payer mix changes stemming from the COVID-19 pandemic unless HHS issues a waiver.

Nick Hut April 1, 2021

News briefs: The new COVID-19 relief legislation could result in a big Medicare payment cut

The $1.9 trillion American Rescue Plan, which was signed into law March 11, could lead to a significant reduction in Medicare revenues if Congress does not act.

Nick Hut March 30, 2021

How a health system prepared to comply with CMS’s new price transparency rule

The efforts of one health system to meet state and federal price transparency regulations shows the benefit of integrating transparency efforts into a broader organizational strategy.

Elizabeth Barker March 12, 2021

Hospitals can use new CMS Condition of Participation regarding ADTs to enhance strategic alignment with independent physicians and post-acute providers

New requirements regarding notifications of admissions, discharges and transfers present both a challenge and a strategic opportunities for hospitals.

Lisa A. Eramo, MA March 10, 2021

Report: Large sampling reveals 30% of hospitals haven’t complied with any aspect of the new price transparency requirements

Hospitals have had an easier time posting the required price information for consumer-friendly shoppable services than for all the services in their chargemaster, according to a large survey.

Nick Hut February 13, 2021

Price transparency: the next chapter

HFMA President and CEO Joe Fifer discusses the latest developments in the societal movement toward full price transparency in healthcare.

Joseph J. Fifer, FHFMA, CPA January 22, 2021

HHS postpones deadline for hospitals to comply with Provider Relief Fund reporting requirements

With new legislation having modified the rules governing the reporting of Provider Relief Fund payments, HHS has indefinitely postponed the Feb. 15 reporting deadline.

Nick Hut January 20, 2021

New legislation seeks to take unwelcome surprises out of patient billing

A new law called The No Surprises Act is designed to prevent healthcare consumers from getting stuck with potentially large bills after receiving out-of-network care.

Nick Hut January 11, 2021

How to develop a winning pricing strategy in the post-COVID-19 consumer market

Providers and health plans should prepare for federally imposed price transparency mandates imposed by developing comprehensive pricing strategies tailored to their specific market positions, financials and operational objectives.

Kevin B. Sears, MHA August 27, 2020

Price transparency as a guiding principle: directionally correct

HFMA President and CEO Joe Fifer offers a perspective on HFMA’s approach to price transparency vis-à-vis the upcoming CMS regulations on payment rate transparency.

Joseph J. Fifer, FHFMA, CPA August 27, 2020
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