Legal and Regulatory Compliance

Reminder: Price Posting Requirement Began Jan. 1

CMS reminds healthcare providers that the format for posting is the hospital’s choice, but the information must be “consumer-friendly” and must enable patients to understand their financial liabilities and compare charges for similar services across other hospitals. 

By J. Stuart Showalter January 15, 2019

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.

By Rich Daly January 10, 2019

5 Ways to Boost Billing Capabilities for Transitional Care Management

Samantha Sizemore shares tips for success in transitional care management. 

By Samantha Sizemore December 20, 2018

Some Regulatory Reduction Plans Draw Hospital Concerns

Areas of concern include around transfer agreements and patient status.

By Rich Daly December 12, 2018

Crowdfunding: Assessing Benefits and Risks

Crowdfunding can increase investor participation and engagement between project initiators and potential funders, as well as raise awareness of neglected health issues.

By William Marty Martin December 5, 2018

HIPAA Breaches Make News, Cost Money

Three Boston hospitals that were recently slapped with HIPAA violations for allowing television crews into their facilities are reminders of the intricacies of patient privacy laws. 

By J. Stuart Showalter November 20, 2018

Shared Birthdays Cause Patient Matching Errors

Patients who share similarly spelled names and the same birth dates are particularly susceptible to patient record mismatches.

By J. Stuart Showalter November 20, 2018

Patient Matching in the Era of EHRs

It is not uncommon for clinicians to have incomplete or inaccurate pictures of patients’ medical histories and conditions because the record and the patient do not match. This exposes healthcare organizations to medical errors, increased costs, and negative patient experiences. 

By J. Stuart Showalter November 20, 2018

Ask the Experts: Financial Assistance Policies

I need help interpreting the patient refund rule mentioned in the IRS rule 501(r)(4) for financial assistance policies. 

By HFMA November 19, 2018

The 2018 Midterm Elections: Implications for Health Care

The healthcare industry could see some significant changes now that the balance of power in Washington D.C. has shifted. 

By Ken Perez November 16, 2018
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