Using Audits to Improve Compliance, Cut Future Audit Risk
Several steps can help hospitals and health systems leverage audits and their results to increase compliance and reduce financial risks from future audits.
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?
Acting on the Signs and Solutions of Financial Distress
Hospitals and health systems will find the solutions to financial distress more palatable if they recognize the warning signs early and act appropriately to address them.
Concerns Raised Over Changes to 340B Program
As healthcare stakeholders await expected 340B Drug Pricing Program changes, Henry Ford Health System shares how it structures its related compliance efforts.
NLRB Expands ‘Joint-Employer’ Concept
Expansion of the joint-employer concept could have implications for hospitals and other providers who use staffing agencies.
HFMA Comments on GASB’s Proposed Blending Requirements for Component Units
HFMA’s P&P Board encouraged the GASB to allow the optional single or multiple-column approach in Statement 61 for blending component units applied to all component units of business-type activities.
HIPAA Breaches: Eight Lessons Learned
A healthcare attorney shares eight critical lessons from dealing with HIPAA breach issues.
Avoiding and Managing CMS Audits
A revenue cycle director and a healthcare attorney share tips for avoiding CMS audits and managing claim denial appeals.