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.
States Adopting Interstate Medical Licensure Compacts
Certain states are removing barriers to telemedicine by making it easier for physicians to practice across state lines.
Two-Midnight Rule Redux
Concerns about the two-midnight rule continue, but experts insist that they can be overcome with better education of utilization review and case management staff.
Supreme Court to Hear Fraud Case
Depending on a Supreme Court decision later this year, false claims plaintiffs and their attorneys may have wider latitude to bring lawsuits.
Ask the Experts: Self-Pay Discount Policies
Our hospital is developing a self-pay discount policy. What are some of the legal ramifications we should be aware of?