Medicaid Compliance

Seeking to improve healthcare for Medicaid beneficiaries, CMS issues a flurry of regulations

CMS over the last month published a trio of final rules intended to make the Medicaid program work better for beneficiaries, with implications for healthcare providers. The three rules address eligibility and enrollment, access and Medicaid managed care. Streamlining eligibility and enrollment The first rule addresses administrative barriers in an effort to simplify enrollment processes…

Nick Hut May 1, 2024

What revenue cycle strategies enhance the patient experience

In a roundtable discussion, revenue cycle leaders chat about strategies they developed to enhance the patient experience while navigating the payment process.

HFMA August 31, 2022

Why ensuring the appropriate assignment of observation status patients is so important

Managing observation status requires a focused and consistent effort. Inappropriate assignment of observation status is expensive for patients and hospitals alike and can impede the goal of providing patients with the right care at the right time in the right setting.

Brian Pisarsky April 25, 2022

Medicaid eligibility: Strategies to provide care access and maximize reimbursement

Is your hospital or healthcare system constantly seeking ways to help patients access care through Medicaid while maximizing their own reimbursement? Look no more as this sponsored survey unveils effective solutions for these challenges.

HFMA February 28, 2022

As COVID-19 vaccination deadlines arrive for healthcare providers, CMS offers explanatory resources

As the deadlines arrive for providers to comply with the COVID-19 vaccine mandate, CMS has made various resources available to help healthcare entities determine whether and when the regulations apply to them.

Nick Hut January 27, 2022

Supreme Court agrees to review the vaccine mandate for healthcare workers in upcoming weeks

The nation’s highest court is being asked to clarify whether implementation of CMS’s COVID-19 vaccine mandate can proceed.

Nick Hut December 27, 2021

The vaccine mandate for healthcare workers is back in place for half the country following an appeals court ruling

The question of whether healthcare employees can be covered by vaccine mandates likely will be decided by the Supreme Court.

Nick Hut December 16, 2021

10 states file lawsuit to halt CMS’s new rule requiring healthcare staff to be vaccinated

The suit says CMS didn’t have a good rationale for implementing the mandate and failed to follow required procedures for handing down such regulations.

Nick Hut December 1, 2021

Healthcare News of Note: Noncompliance with new price transparency rules appears to be common

CMS's auditing of price transparency commpliance and Tennessee's Medicaid block grant program waiver getting approved are two topics in Healthcare News of Note. Also, HFMA revamps its “Voices in Healthcare Finance” podcast.

Deborah Filipek January 15, 2021

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
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