The Risky Business of RADVs
By identifying some of the factors that set apart those health plans chosen for RADV audits, healthcare organizations can better prepare for their own selection.
Medicare’s Quality Initiatives Present New Management Challenges
Value-based purchasing and reduction of readmissions and hospital-acquired conditions are coming into focus for hospitals thanks to Medicare initiatives.
MOON Form Approved
The MOON notice related to observation status was recently approved.
Ask the Experts: Physician Malpractice Insurance
Our hospital just acquired a physician group. What is our obligation to provide and/or pay for medical malpractice insurance?
Over the MOON about the NOTICE Act
Although many healthcare leaders applaud the fact that there is plenty of time to prepare for MOON requirements, there are lingering concerns, including limited patient education in the form and requirements for translating the form into other languages.
Avoiding and Managing CMS Audits
A revenue cycle director and a healthcare attorney share tips for avoiding CMS audits and managing claim denial appeals.
Changes to Two-Midnight Rule Raise Concerns
Medicare’s proposed changes to the two-midnight rule for hospital short stays creates ambiguities and challenges for hospital staff.
HFMA Comments on Medicare Short Stay Payment Policy
HFMA comments on issues related to Medicare’s current payment policy for short stays, the Recovery Audit Contractor (RAC) program, and the impact of both on Medicare beneficiaries.
A Perfectly Legal Way to Help Patients Pick Higher-Quality Post-Acute Providers
For fear of legal ramifications, hospital case managers and discharge planners are not sharing quality information about post-acute providers with patients.
HFMA Comments on Hospital Improvements for Payment Act of 2014 Discussion Draft
HFMA comments to the U.S. House Committee on Ways and Means on the challenges of the Medicare Recovery Audit Contractor program and other policies that have had negative unintended consequences.