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.
Separation of Compliance and Legal Functions Key to Effective Hospital Compliance Program
New guidance strongly suggests that hospital compliance officer should not be subordinate to legal counsel.
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 Transition to HIPAA Eligibility Transaction System
HFMA is concerned that a 12-month limitation will not allow providers the time to research facts and, if mistakes are discovered, reopen claims with Medicare under CMS' reopening regulations.
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.
M&A Basics: How to Avoid a Broken Deal
Hospital leaders involved in merger and acquisition discussions need to understand some fundamentals about these transactions to ensure a successful outcome.
An Antitrust Primer
It may be helpful to remember certain basic principles of antitrust law when contemplating mergers and acquisitions.
HFMA Summary of IRS 501(r) Final Rule
This summary outlines the provisions of the IRS final rule providing requirements for charitable hospital organizations added by the Affordable Care Act.
HFMA comments on the Delay of RAC Appeals assigned to Administrative Law Judges
HFMA voices concern and comments on the recent Office of Medicare Hearings and Appeals decision to suspend assignment of new RAC appeals cases to Administrative Law Judges.