Healthcare Compliance

Articles covering healthcare regulations, legal issues, compliance requirements, risk management, and policy developments affecting healthcare organizations.

Ask the Expert: Paying Patient Premiums

Do anti-kickback laws preclude providers from paying premiums for uninsured patients, specifically for the health insurance marketplace plans?

By HFMA August 20, 2015

HFMA Comments on the FASB’s Proposal on NFP Financial Statement Presentation

HFMA comments on the FASB’s proposed Accounting Standards Update Not-for-Profit Entities (Topic 958) & Health Care Entities (Topic 954): Presentation of Financial Statements of Not-for-Profit Entities.

By HFMA August 18, 2015

HFMA P&P Board Summary of Not for Profit Reporting Model Changes

HFMA’s Principles & Practices (P&P) Board developed this downloadable resource titled “Not for Profit (NFP) Reporting Model Changes Summary.”

By HFMA August 6, 2015

New NLRB Election Rule May Increase Union Activity

A new NLRB regulation shortens the time for union election campaigns and puts employers at a disadvantage, including hospitals. Early preparation is advised, says a labor relations lawyer.

By J. Stuart Showalter July 21, 2015

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.

By J. Stuart Showalter July 21, 2015

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.

By J. Stuart Showalter, JD, MFS May 15, 2015

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.

By HFMA April 20, 2015

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.

By J. Stuart Showalter April 16, 2015

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.

By HFMA March 20, 2015

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.

By HFMA March 11, 2015
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