Legal and Regulatory Compliance

TCPA Lawsuits Are Exploding

The TCPA was never intended to prohibit or negatively affect legitimate business-related calls, but that has been the result of court decisions allowing class action lawsuits.

HFMA September 5, 2017

Improve Compliance and Revenue by Understanding the Two-Midnight Rule

Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.

Edward Hu August 29, 2017

Improve Compliance and Revenue by Understanding the Two-Midnight Rule

Edward Hu, MD, president of the American College of Physician Colleges, offers guidance for physicians seeking to better understand the two-midnight rule.

Edward Hu August 29, 2017

Are You Prepared for These Three Self-Pay Risks?

Hospitals face risks associated with three major statutes that impact revenue cycle processes: autodialer rules, debt collection, and charity care requirements. 

Leslie Newman August 29, 2017

CAQH CORE Compliance: The “Voluntary Mandate” That Isn’t

To comply with HIPAA’s mandate regarding security of information transferred electronically, many organizations have adopted solutions that are not compatible with those of other organizations, making the transfer process cumbersome.

Buster Elrod August 23, 2017

Consequences of PCI Noncompliance

Healthcare finance leaders should understand that the consequences of noncompliance with the PCI standards for security of credit card information can be severe.

HFMA August 23, 2017

Payment Security and Compliance: A Primer for Healthcare Revenue Cycle Decisionmakers

Compliance with credit card security standards has taken on greater importance for hospitals as with the increased likelihood that patients might use credit cards to cover growing payment obligations imposed by high-deductible health plans.

David King August 23, 2017

The Opioid Funding Controversy: A Portent of the Upcoming Bipartisan Healthcare Reform Debate

The continuing efforts to repeal and replace the Affordable Care Act could open doors for advocacy groups to revisit aspects of the legislation they want to change.

Ken Perez August 23, 2017

Ask the Experts: Handling Patients Who Provide False Identities

Are there any policies or workflow processes for handling emergency department patients who misrepresent their identities?

HFMA August 15, 2017

Compliance Analytics: There’s Gold in the Data

Compliance can become a financial asset. For example, data mining provides opportunities to improve vague or incomplete clinical documentation, weak internal communication, overly conservative or inconsistent coding, and physician education, all of which improve the bottom line and reduce risk.

J. Stuart Showalter August 10, 2017
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