Legal and Regulatory Compliance

HFMA urges support for the Stark Administrative Simplification Act (H.R. 3776)

HFMA urges support for the Stark Administrative Simplification Act (H.R. 3776) introduced by Rep. Charles Boustany, MD, and Rep. Ron Kind.

HFMA January 23, 2014

Highlights from Nov. 12 Open Door Forum on 2-Midnight Rule

On Nov. 12, 2013, CMS hosted a third, follow-up special open door forum to allow providers and other interested parties to ask questions on those areas of the two-midnight provision contained in the FY14 IPPS final rule, pertaining to physician order and certification, inpatient hospital admission, and medical review criteria.

HFMA November 21, 2013

HIPAA and Cloud Computing

Cloud computing multiplies the compliance risks for healthcare organizations, which possess both protected health information and financial information.

J. Stuart Showalter May 28, 2013

Ask the Experts Answer: Charge Tickets

How long should we keep charge tickets in the ambulatory care setting?

HFMA October 25, 2012

Ask the Expert: CMS Statements for Medicare Patients

States--not CMS--have regulations in place related to timely patient notification of the availability of financial assistance/charity, as well as a statement that includes a summary of charges.

HFMA October 25, 2012

Tool: 5010 Checklist

A checklist to help your organization transition from 4010 to the 5010 transaction set by Jan. 1, 2012.

HFMA October 25, 2012

Ask the Experts Answer: Legislative Requirements for Refunds

Do you know of any policy/legislation or general practices regarding a provider refunding a payer if the patient was authorized but then later found by the payer to be uncovered because they are secondary?

HFMA October 25, 2012

Ask the Expert: Small Claims Court Proceedings

In developing a policy for small claims court proceedings, there are a few homework and research items you will need to complete before proceeding.

HFMA October 25, 2012

Ask the Expert Answer: HIPAA Changes

Is there guidance to ensure that all the recent changes to HIPAA are incorporated in policies, procedures, notices and contracts?

HFMA October 25, 2012

Ask the Expert: Matching Billing to Service Under One Tax ID

We have a variety of business units that bill off different billing systems for unique service lines. How can I get only the funds for each billing area correctly remitted just to that unit?

HFMA October 25, 2012
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