A Framework for Predicting the Trump Administration’s Health Policy Moves
Considered unpredictable by many, the policies of President-elect Donald Trump’s administration are beginning to take shape in health care.
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.
Addressing Challenges Presented by Financial Assistance Rules
Although the vast majority of hospitals have been working to implement IRS regulations for patient financial assistance, healthcare leaders should focus on potential problem areas because compliance with all the requirements is necessary to qualify for tax-exempt status.
Video: Critical Steps Toward 501(r) Compliance
Hospital financial assistance policies should be easily accessible by patients, and staff should be trained to explain the policies and assess patient eligibility.
High Court Decides False Claims Act Case
The Supreme Court ruled that “in some circumstances” hospitals’ implied certification of compliance with payment requirements may make them liable under the False Claims Act, but the decision’s reach is not as expansive as proposed by plaintiffs and the federal government.
False Claims Act Penalties are Rising
A recent increase in false claims penalties and a Supreme Court case placing the burden on healthcare organizations to be aware of payment requirements, necessitates that hospital compliance officers redouble efforts to prevent false claims.
New HIPAA Audits About to Begin
Both desk and on-site HIPAA audits will be performed, and every covered healthcare entity and business associate is eligible for an audit.
Interstate Compact Eases Licensure, Improves Quality of Care
Currently, 17 states have adopted compacts to help physician specialists practice across state lines, opening the door for telemedicine opportunities.